Joseph Albert Basilicato, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22DI02266200 Issued in NJ

Practice address

191 Hamburg Tpke
Pompton Lakes, NJ 07442-2330

Phone

(973) 831-0109

NPI assigned

Nov 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective Feb 24, 2016 through Feb 24, 2028

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Joseph Basilicato DMD LLC

  dba Smile Care for Kids

  • Pediatric Dentistry
  • Pompton Lakes, NJ
  • NPI 1346791084
  NPD (past) Authorized official

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306915202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 WHEELER RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708206",
            "telephone_number": "973-872-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 HAMBURG TPKE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074422330",
            "telephone_number": "973-831-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASILICATO",
        "first_name": "JOSEPH",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02266200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bancroft, a New Jersey Nonprofit Corporation
• Barbara Jean Keane, M.S.W., L.C.SW.
• Bart Cohen P.a.
• Stafford Wendell Barton, LPC
• Jo Ann Bartschat
• Bruce Robert Becker, LCSW
• Behavior Consultants of New Jersey
• Vanessa Bellardini
• Beltone Hearing Aid
• Beltone Hearing Aid Center

• Pediatric Dentistry in Pompton Lakes, NJ
• Providers in Pompton Lakes, NJ by specialty
• Pediatric 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.