Organization Active NPI

Richard P Charmoy DMD LLC

  • Dentist
  • Somerville, NJ
National Provider Identifier
1275802902
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22D101516000 Issued in NJ
Legal business name
RICHARD P CHARMOY DMD LLC
Practice address
78 East Main Street
Somerville, NJ 08876
Phone
(908) 722-9222
Fax
(908) 231-0334
NPI assigned
Dec 27, 2011
Last updated
May 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Dr. Richard Peter Charmoy, DMDNPI 1033270152
Title
Owner
Phone
(908) 722-9222

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
Dentist 122300000X 22D101516000 NJ Primary

Addresses

Primary practice location

78 East Main Street
Somerville, NJ 08876

Mailing address

78 East Main Street
Somerville, NJ 08876
Phone (908) 722-9222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120411000372 NJ DME Supplier - Oral Surgery - Dentist 7810158284 Practice locations: Somerville, NJ

National Provider Directory

National Provider Directory

Locations

78 E Main St
Somerville, NJ 08876
Phone (908) 722-9222

Practitioners & affiliated clinicians

Practitioners 1

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": "1324944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1275802902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 EAST MAIN STREET",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "08876",
            "telephone_number": "908-722-9222",
            "fax_number": "908-231-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 EAST MAIN STREET",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "08876",
            "telephone_number": "908-722-9222",
            "fax_number": "908-231-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD P CHARMOY DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-27",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "CHARMOY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-722-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D101516000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.