Stefano Geraldo Grasso, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02384100 Issued in NJ

Practice address

495 W Veterans Hwy Ste 1
Jackson, NJ 08527-3757

Phone

(848) 222-1455

Fax

(848) 222-1454

NPI assigned

Jun 4, 2008

Last updated

Oct 23, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective Jan 14, 2016 through Jan 14, 2028

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Splendid Smiles Family Dentistry

  • Dentist
  • Jackson, NJ
  • NPI 1245709211
  NPD (past)

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1235398223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 W VETERANS HWY STE 1",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085273757",
            "telephone_number": "848-222-1455",
            "fax_number": "848-222-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 W VETERANS HWY STE 1",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085273757",
            "telephone_number": "848-222-1455",
            "fax_number": "848-222-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASSO",
        "first_name": "STEFANO",
        "middle_name": "GERALDO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-04",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02384100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Gorin, SLP
• Shmuel Gottlieb
• Sarah J Gouin
• Graceful Beginnings LLC
• Elizabeth S Grafas-Kalwinsky, PT
• Elisheva Greenfield
• Dominique Gretch, MT-BC
• Cassandra Nicole Grod, LCSW
• Ruth Grosberg
• Eleanor Gross, LCSW

• General Practice Dentistry in Jackson, NJ
• Providers in Jackson, 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 Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.