Marco Bongarzone Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DIO2911600 Issued in NJ

Practice address

107 Sagamore Ave
Oceanport, NJ 07757-1624

Phone

(848) 228-1741

NPI assigned

Jun 22, 2022

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)

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 and National Provider Directory roles.

• Corsi Dental Associates

  • General Practice Dentistry
  • Woodbury, NJ
  • NPI 1639544141
  NPD (past)
• Katherine L. Thomas, D.D.S.

  • General Practice Dentistry
  • Sicklerville, NJ
  • NPI 1396837688
  NPD (past)
• Venuto Family Dentistry

  • General Practice Dentistry
  • Sicklerville, NJ
  • NPI 1518440114
  NPD (past)

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1225769995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SAGAMORE AVE",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "077571624",
            "telephone_number": "848-228-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SAGAMORE AVE",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "077571624",
            "telephone_number": "848-228-1741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "NJ",
            "postal_code": "080961718",
            "country_code": "US",
            "telephone_number": "856-251-9191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "813 New Brooklyn Erial Rd",
            "address_purpose": "LOCATION",
            "city": "Sicklerville",
            "state": "NJ",
            "postal_code": "080813278",
            "country_code": "US",
            "telephone_number": "856-784-9774",
            "fax_number": "856-784-9474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONGARZONE",
        "first_name": "MARCO",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DIO2911600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beacon Infusion Health Services LLC
• Beacon of Life Central NJ (BoldAge PACE Central NJ)
• Melissa Hernando Berardino, OTR/L
• Bertekap Surgical LLC
• Sibel Nur Bilgin-Zentai, DPT
• Lauren Jacobson Borja, MA CCC/SLP
• Caitlin Brinkman, ATC
• Jennifer Lee Brooks
• Elizabeth Ann Brownell, M.D.
• Stacia T Bryant, PHYSICAL THERAPIST

• General Practice Dentistry in Oceanport, NJ
• Providers in Oceanport, 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 Jun 22, 2022; 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.