Individual provider Active NPI

Carmine John Galdieri III, D.M.D.

  • General Practice Dentistry
  • Cedar Knolls, NJ
National Provider Identifier
1225258650
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01766000 Issued in NJ
Practice address
104 Ridgedale Ave
Cedar Knolls, NJ 07927-1632
Phone
(973) 993-1979
NPI assigned
Apr 26, 2007
Last updated
Jan 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI07660 NJ
General Practice Dentistry 1223G0001X 22DI01766000 NJ Primary

Addresses

Primary practice location

104 Ridgedale Ave
Cedar Knolls, NJ 07927-1632

Mailing address

104 Ridgedale Ave
Cedar Knolls, NJ 07927-1632
Phone (973) 993-1979

Other identifiers 1

IdentifierTypeStateIssuer
1225258650OtherDENTAL OFFICE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL email

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI07660NJMDDentist
22DI01766000NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cedarknollsdentalgroupllc CurrentSince Jan 15, 2023 Accepting new patients
CJ & JP Galdieri, PTR General Practice Past Accepting new patients

Locations

104 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 285-0800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1225258650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 RIDGEDALE AVE",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271632",
            "telephone_number": "973-993-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 RIDGEDALE AVE",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271632",
            "telephone_number": "973-993-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALDIERI",
        "first_name": "CARMINE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI07660",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01766000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL OFFICE",
            "identifier": "1225258650",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "N",
            "address_1": "104 Ridgedale Ave",
            "city": "Cedar Knolls",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079271632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cedar Knolls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.