Individual provider Active NPI

Joseph Giovanni Muscatiello, DMD

  • General Practice Dentistry
  • Edison, NJ
National Provider Identifier
1235143710
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22D100995200 Issued in NJ
Practice address
96 Plainfield Ave
Edison, NJ 08817-3712
Phone
(732) 958-1120
NPI assigned
Jul 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22D100995200 NJ Primary

Addresses

Primary practice location

96 Plainfield Ave
Edison, NJ 08817-3712

Mailing address

96 Plainfield Ave.
Edison, NJ 08817

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150629000839 NJ Order and Referring Only - DentistPractitioner - Dentist 6305158767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22D100995200NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
MJL Dental P.C Past Accepting new patients

Organizations & group practices 1

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235143710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 PLAINFIELD AVE.",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 PLAINFIELD AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173712",
            "telephone_number": "732-958-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSCATIELLO",
        "first_name": "JOSEPH",
        "middle_name": "GIOVANNI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D100995200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.