Gregory Joseph Defelice, D.M.D., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

22DI02278103 Issued in NJ

Practice address

5429 Harding Hwy
Suite 101
Mays Landing, NJ 08330-2263

Phone

(609) 625-0505

Fax

(609) 625-8002

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brickworks Dental, LLC

  • General Practice Dentistry
  • Mays Landinbg, NJ
  • NPI 1649529124
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285669796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5429 HARDING HWY",
            "address_2": "SUITE 101",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083302263",
            "telephone_number": "609-625-0505",
            "fax_number": "609-625-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5429 HARDING HWY",
            "address_2": "SUITE 101",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083302263",
            "telephone_number": "609-625-0505",
            "fax_number": "609-625-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFELICE",
        "first_name": "GREGORY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS035416",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI02278103",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis Kare Community Service LLC
• Reyna Marie Dabney
• Christine Daisey, NP
• Denise Dale, CNA
• Karen H Davis, RN MSN CS
• Jessica Delarosa, LPN
• Delta Community Supports, Inc.
• Delta Community Supports, Inc.
• David Philip Demareo, MSPT
• Dennis Bonfiglio Surgical Assistant LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Mays Landing, NJ
• Providers in Mays Landing, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.