Organization Active NPI

Gregory Defelice DMD LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cape May Court House, NJ
National Provider Identifier
1275998247
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
22DI02278100 Issued in NJ
Legal business name
GREGORY DEFELICE DMD LLC
Practice address
22 W Pacific Ave
Cape May Court House, NJ 08210-2311
Phone
(609) 465-5175
NPI assigned
Dec 17, 2015
Organization subpart
Yes
Parent organization
CEDAR RUN ORTHODONTICS PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
Gregory J Defelice, DMD
Title
President
Phone
(609) 978-4411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 22DI02278100 NJ Primary

Addresses

Primary practice location

22 W Pacific Ave
Cape May Court House, NJ 08210-2311

Mailing address

22 W Pacific Ave
Cape May Court House, NJ 08210-2311
Phone (609) 465-5175

National Provider Directory

National Provider Directory
Part of
Cedar Run Orthodontics PA

Locations

22 W Pacific Ave
Cape May Court House, NJ 08210
Phone (609) 465-5175

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1275998247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W PACIFIC AVE",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102311",
            "telephone_number": "609-465-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W PACIFIC AVE",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102311",
            "telephone_number": "609-465-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY DEFELICE DMD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CEDAR RUN ORTHODONTICS PA",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "DEFELICE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-978-4411",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI02278100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.