Vincent Frank Caruso, DDS
Individual provider Active NPI Dentist · Rutherford, NJ
NPI 1235324286 · NPPES record last updated Sep 12, 2007
Key facts
- NPI
- 1235324286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DI17110 (NJ)
- Practice address
- 47 Orient Way
Rutherford, NJ 07070-2082 - Phone
- (201) 531-0840
- Fax
- (201) 531-0928
- NPI assigned
- Sep 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI17110 | NJ | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DI17110 | NJ | Yes |
Addresses
Primary practice location
47 Orient Way
Rutherford, NJ 07070-2082
Mailing address
47 Orient Way
Rutherford, NJ 07070-2082
Phone (201) 531-0840
Other providers in Rutherford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.