Beth Valerie Cacossa-Madsen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI017070 Issued in NJ

Practice address

756 Pompton Ave
Cedar Grove, NJ 07009-1229

Phone

(973) 239-6969

Fax

(973) 239-6295

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Verona-Cedar Grove Dental Associates

  • General Practice Dentistry
  • Cedar Grove, NJ
  • NPI 1093152746
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225195175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 POMPTON AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091229",
            "telephone_number": "973-239-6969",
            "fax_number": "973-239-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 POMPTON AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091229",
            "telephone_number": "973-239-6969",
            "fax_number": "973-239-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACOSSA-MADSEN",
        "first_name": "BETH",
        "middle_name": "VALERIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI017070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Bruno, P.T.A.
• Marco Michael Bruno, D.C.
• Andrea Lisbeth Buccino, D.C.
• Jeff Edward Burrowes, DC
• C&S Deantal Enterprises (Cedar Grove Dental Arts)
• Christopher Raymond Cannara, AGPCNP
• Canterbury at Cedar Grove Care & Rehabilitation Center LLC
• Canterbury Healthcare and Rehab Center LLC (Eagle Rock Post Acute Care at Cedar Grove)
• Zina B. Cappiello, D.P.M.
• Care Chiropractic LLC

• General Practice Dentistry in Cedar Grove, NJ
• Providers in Cedar Grove, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.