Active NPI
Vincent J Rea, DDS
- General Practice Dentistry
- Willingboro, NJ
National Provider Identifier
1245374768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8904
- Practice address
- 282 Northampton Dr
Willingboro, NJ 08046-1347 - Phone
- (609) 871-2404
- NPI assigned
- Feb 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8904 | NJ | Primary |
Addresses
Primary practice location
282 Northampton Dr
Willingboro, NJ 08046-1347
Mailing address
520 Chestnut St
Moorestown, NJ 08057-2002
Phone (856) 778-4061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8904 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245374768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 CHESTNUT ST",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080572002",
"telephone_number": "856-778-4061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282 NORTHAMPTON DR",
"city": "WILLINGBORO",
"state": "NJ",
"postal_code": "080461347",
"telephone_number": "609-871-2404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REA",
"first_name": "VINCENT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "8904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willingboro, NJ
- Shahar B. Rana, M.D.
- Rancocas Dental Associates, LLC
- Rancocas Obstetrics and Gynecology Associates, LLC
- Rancocas Zurbrugg Pathology Assoc Inc
- Malik Abdur Razzaq, M.ED.
- Rebuild Therapy and Treatment Services
- Recovery Center of South Jersey
- Praveen P Reddy
- Regional Women's Health Group, LLC (RWHG Rancocas Obstetrics & Gynecology Asso)
- Rehabclinics SPT, Inc. (Select Physical Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.