Sandra D Picazio Ms DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI017098 Issued in NJ

Legal business name

SANDRA D PICAZIO MS DDS PA

Practice address

388 Pompton Ave
Cedar Grove, NJ 07009-1814

Phone

(973) 239-4315

Fax

(973) 239-3728

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sandra Dawn Picazio, D.D.S.

Title

President

Phone

(973) 239-4315

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235252842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 POMPTON AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "07009",
            "telephone_number": "973-239-4315",
            "fax_number": "973-239-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 POMPTON AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091814",
            "telephone_number": "973-239-4315",
            "fax_number": "973-239-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA D PICAZIO MS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PICAZIO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-239-4315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI017098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramy Sadek
• Carole Ann Salvador, PSY.D.
• Carla Pia V Samson, NP
• Ashley San Giacomo, LCSW
• Jenessa Sanchez
• Jolynne Sannicandro
• Gabrielle Sanroman, LPC, NCC
• Jason Michael Sargis, DAOM
• Ajita Sawant, OTR/L
• Howard Marc Schulman

• General Practice Dentistry in Cedar Grove, NJ
• Providers in Cedar Grove, 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 Aug 22, 2020; 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.