Individual provider Active NPI

Erica C. Defabio, DMD

  • Prosthodontics
  • Colts Neck, NJ
National Provider Identifier
1225291552
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
22DI02406500 Issued in NJ
Practice address
440 State Route 34
Colts Neck, NJ 07722-2513
Phone
(732) 780-7790
NPI assigned
Jul 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X P64200 NY
General Practice Dentistry 1223G0001X 22D102406500 NJ
Prosthodontics 1223P0700X 22DI02406500 NJ Primary

Addresses

Primary practice location

440 State Route 34
Colts Neck, NJ 07722-2513

Mailing address

5 Stone Edge Rd
Bedminster, NJ 07921-1643
Phone (908) 670-7719

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
22D102406500NJMDGeneral Practice Dentistry
P64200NYMDGeneral Practice Dentistry
22DI02406500NJMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1225291552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 STONE EDGE RD",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079211643",
            "telephone_number": "908-670-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 STATE ROUTE 34",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222513",
            "telephone_number": "732-780-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFABIO",
        "first_name": "ERICA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "P64200",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D102406500",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NJ",
            "license": "22DI02406500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colts Neck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.