Richard Gregory Taddeo, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

09029 Issued in NJ

Practice address

149 Northfield Ave
West Orange, NJ 07052-4723

Phone

(973) 731-5878

Fax

(973) 731-5052

NPI assigned

Jan 26, 2008

Last updated

Jan 26, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1201305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201305600000",
    "number": "1295912863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 NORTHFIELD AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524723",
            "telephone_number": "973-731-5878",
            "fax_number": "973-731-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 NORTHFIELD AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524723",
            "telephone_number": "973-731-5878",
            "fax_number": "973-731-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADDEO",
        "first_name": "RICHARD",
        "middle_name": "GREGORY",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-26",
        "last_updated": "2008-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "09029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Jaclyn Sylvester, PT, DPT
• Claudine M. Sylvester, M. D.
• Ta Washington (Peakfitnessplus)
• Romy Tabacznik, NP
• Valentyna Tack, DO
• Munirih Nura Tahzib, M.D.
• Matthew A Tamburri
• Anne-Marie Ming Ar Tang, M.D.
• Maria Tanis
• Shashi Tank

• General Practice Dentistry in West Orange, NJ
• Providers in West Orange, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2008; 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.