Organization Active NPI

Theresa a. Cassano, D.M.D., PC

Doing business as Hackettstown Family Dental

  • General Practice Dentistry
  • Hackettstown, NJ
National Provider Identifier
1275612962
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02086200 Issued in NJ
Legal business name
THERESA A. CASSANO, D.M.D., PC
Doing business as
Hackettstown Family Dental
Practice address
168 Mountain Ave
Hackettstown, NJ 07840-2324
Phone
(908) 852-6611
Fax
(908) 852-5636
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Theresa A. Cassano, D.M.D.NPI 1972779064
Title
President
Phone
(908) 852-6611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22DI02086200 NJ Primary

Addresses

Primary practice location

168 Mountain Ave
Hackettstown, NJ 07840-2324

Mailing address

168 Mountain Ave
Hackettstown, NJ 07840-2324
Phone (908) 852-6611

Other names 1

  • Hackettstown Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

168 Mountain Ave
Hackettstown, NJ 07840
Phone (908) 852-6611

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275612962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 MOUNTAIN AVE",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402324",
            "telephone_number": "908-852-6611",
            "fax_number": "908-852-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 MOUNTAIN AVE",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402324",
            "telephone_number": "908-852-6611",
            "fax_number": "908-852-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA A. CASSANO, D.M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASSANO",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-852-6611",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02086200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hackettstown Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hackettstown, NJ

Sources for this page

  • 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.