Anthony Fasciano, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

17458 Issued in NJ

Practice address

617 E Palisade Ave
Englewood Cliffs, NJ 07632-1831

Phone

(201) 894-0350

Fax

(201) 541-6728

NPI assigned

Jul 9, 2009

Last updated

Mar 1, 2012By 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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Anthony Fasciano, DMD, LLC

  • Endodontics
  • Englewood Cliffs, NJ
  • NPI 1912072471
  Authorized official Same address or phone

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1225267446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 E PALISADE AVE",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076321831",
            "telephone_number": "201-894-0350",
            "fax_number": "201-541-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 E PALISADE AVE",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076321831",
            "telephone_number": "201-894-0350",
            "fax_number": "201-541-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASCIANO",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "17458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eun H. Sheen, M.D., P.C.
• F & D Medical, LLC
• Farkas Plastic Surgery, PC
• Jordan Phillip Farkas, MD
• Patricia A Farrell, PHD
• Lisa Fedder, MSW, LCSW, LCADC
• Maria Adriana Fernandez
• Cheryl Fields, DO
• Valerie G Finkel, LCSW
• Marc Anthony Fiorillo, M.D.

• Endodontics in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• Endodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.