NPIMap

Organization Active NPI

Amara Dental of Mahwah, P.a.

Doing business as Dr. Scott Peters, P.A.

  • Dentist
  • Mahwah, NJ
National Provider Identifier
1255721890
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI0174323 Issued in NJ
Legal business name
AMARA DENTAL OF MAHWAH, P.A.
Doing business as
Dr. Scott Peters, P.A.
Practice address
156 Ramapo Valley Rd
Mahwah, NJ 07430-1199
Phone
(201) 529-9000
Fax
(201) 529-2633
NPI assigned
Feb 4, 2015
Last updated
Feb 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Authorized official

Name
Stephen Abbaticchio, DDS
Title
Owner
Phone
(201) 529-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI0174323 NJ Primary

Addresses

Primary practice location

156 Ramapo Valley Rd
Mahwah, NJ 07430-1199

Mailing address

1144 Hooper Ave
Suite 301
Toms River, NJ 08753-8361
Phone (732) 914-1039

Other names 1

  • Dr. Scott Peters, P.A. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amara Dental of Howell PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1144 Hooper Ave
Ste 301
Toms River, NJ 08753
Phone (732) 731-8030

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1255721890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 HOOPER AVE",
            "address_2": "SUITE 301",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538361",
            "telephone_number": "732-914-1039",
            "fax_number": "732-914-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 RAMAPO VALLEY RD",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074301199",
            "telephone_number": "201-529-9000",
            "fax_number": "201-529-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARA DENTAL OF MAHWAH, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "ABBATICCHIO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-529-9000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI0174323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Scott Peters, P.A.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Scott Peters, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mahwah, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.