Active NPI
Richard P Charmoy DMD LLC
- Dentist
- Somerville, NJ
National Provider Identifier
1275802902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22D101516000
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Peter Charmoy, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120411000372 | NJ | DME Supplier - Oral Surgery - Dentist | 7810158284 | Practice locations: Somerville, NJ |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Somerville, NJ
- NPI 1033270152
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.