Domenic Monaco, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DI017657 Issued in NJ

Practice address

346 South Ave. Suite 7
Fanwood, NJ 07023

Phone

(908) 889-2020

Fax

(908) 889-8411

NPI assigned

May 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

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.

• Domenic Monaco D.M.D., P.a.

  • General Practice Dentistry
  • Fanwood, NJ
  • NPI 1114148269
  NPD (past) Authorized official

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225259138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 SOUTH AVE. SUITE 7",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "07023",
            "telephone_number": "908-889-2020",
            "fax_number": "908-889-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 SOUTH AVE. SUITE 7",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "07023",
            "telephone_number": "908-889-2020",
            "fax_number": "908-889-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONACO",
        "first_name": "DOMENIC",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI017657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin A McElroy Barker, LCSW
• Sharon McNeil, BCBA
• Meaningful Touch Homecare
• Mellowminds Psychiatric Services LLC
• Mira Vie at Fanwood Opco LLC (Mira Vie at Fanwood)
• Karen Monaco, M.A.,LPC
• Morningside Health Limited Liability Com
• Katherine Pretto Most, LCSW
• Curt W Mundorff, PHYSICAL THERAPY
• Myadultdaycare, LLC

• Dentist in Fanwood, NJ
• Providers in Fanwood, NJ by specialty
• Dentist 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.