Pecoraro Periodontics

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

22DI02152900 Issued in NJ

Legal business name

PECORARO PERIODONTICS

Practice address

445 Watchung Ave
Watchung, NJ 07069-4956

Phone

(908) 753-4427

Fax

(908) 756-7019

NPI assigned

Jul 23, 2012

Last updated

Jul 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Lucille Pecoraro, D.M.D.

Title

Owner

Phone

(908) 753-4427

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1336494756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 7127",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070699994",
            "telephone_number": "908-753-4427",
            "fax_number": "908-756-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 WATCHUNG AVE",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070694956",
            "telephone_number": "908-753-4427",
            "fax_number": "908-756-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PECORARO PERIODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "PECORARO",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "LUCILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-753-4427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI02152900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashwin P Patel
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• Rasik L Patel, PHARMD
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• Teresa Marie Perry
• Perspectiva Counseling LLC

• Periodontics in Watchung, NJ
• Providers in Watchung, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.