John James Radomile Jr., DDS,FAGD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS018580L Issued in PA

Practice address

4207 State Rd
Drexel Hill, PA 19026-3321

Phone

(610) 789-4066

Fax

(610) 789-8507

NPI assigned

Feb 26, 2007

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

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.

• John J. Radomile and Mark G. Radomile PTR

  dba Radomile Family Dental Care

  • General Practice Dentistry
  • Drexel Hill, PA
  • NPI 1871621946
  NPD (past) Authorized official
• Dental Studio of Drexel Hill

  • General Practice Dentistry
  • Drexel Hill, PA
  • NPI 1497618466
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336275205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 STATE RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190263321",
            "telephone_number": "610-789-4066",
            "fax_number": "610-789-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 STATE RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190263321",
            "telephone_number": "610-789-4066",
            "fax_number": "610-789-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADOMILE",
        "first_name": "JOHN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS,FAGD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS018580L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pulmonary Associates of Drexel Hill, PC
• Quality Angels Home Care Agency
• Geoffrey Rabie, DMD
• Bonnie L Rabinowitch, MD
• Radiation Oncology Associates of Delaware County
• Mark Gerard Radomile, DMD
• Ali Rajabi-Estarabadi, MD
• Neeti Rastogi, MD
• Rediclinic of PA, LLC
• Aaron Relic, DO

• General Practice Dentistry in Drexel Hill, PA
• Providers in Drexel Hill, PA by specialty
• General Practice Dentistry in Pennsylvania

• 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.