Individual provider Active NPI

Anna Folenta, D.D.S.

  • General Practice Dentistry
  • Brick, NJ
National Provider Identifier
1285835439
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI18890 Issued in NJ
Practice address
925 Cedarbridge Ave
Brick, NJ 08723-4111
Phone
(732) 477-5777
Fax
(732) 477-5949
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI18890 NJ Primary

Addresses

Primary practice location

925 Cedarbridge Ave
Brick, NJ 08723-4111

Mailing address

925 Cedarbridge Ave
Brick, NJ 08723-4111
Phone (732) 477-5777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150413001678 NJ Order and Referring Only - DentistPractitioner - Dentist 2769700236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI18890NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285835439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 CEDARBRIDGE AVE",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234111",
            "telephone_number": "732-477-5777",
            "fax_number": "732-477-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 CEDARBRIDGE AVE",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234111",
            "telephone_number": "732-477-5777",
            "fax_number": "732-477-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLENTA",
        "first_name": "ANNA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI18890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.