Active NPI
Frederick J Carbone DDS LLC
- Dental Clinic/Center
- Roseland, NJ
National Provider Identifier
1336909118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- FREDERICK J CARBONE DDS LLC
- Practice address
- 157 Eagle Rock Ave
Roseland, NJ 07068-1353 - Phone
- (973) 228-0039
- Fax
- (973) 228-9073
- NPI assigned
- Mar 20, 2024
- Last updated
- Mar 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frederick J Carbone, DDS
- Title
- Owner
- Phone
- (973) 228-0039
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
157 Eagle Rock Ave
Roseland, NJ 07068-1353
Mailing address
157 Eagle Rock Ave
Roseland, NJ 07068-1353
Phone (973) 228-0039
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22-2662322 | Other | TID FOR FREDERICK J CARBONE DDS | |
| 1619986783 | Other | NPI FOR FREDERICK J CARBONE DDS |
Other names 1
- Frederick J Carbone DDS
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Roseland, NJ
- NPI 1619986783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710892800000",
"number": "1336909118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 EAGLE ROCK AVE",
"city": "ROSELAND",
"state": "NJ",
"postal_code": "070681353",
"telephone_number": "973-228-0039",
"fax_number": "973-228-9073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 EAGLE ROCK AVE",
"city": "ROSELAND",
"state": "NJ",
"postal_code": "070681353",
"telephone_number": "973-228-0039",
"fax_number": "973-228-9073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREDERICK J CARBONE DDS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-20",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A",
"authorized_official_last_name": "CARBONE",
"authorized_official_first_name": "FREDERICK",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-228-0039",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TID FOR FREDERICK J CARBONE DDS",
"identifier": "22-2662322",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI FOR FREDERICK J CARBONE DDS",
"identifier": "1619986783",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Frederick J Carbone DDS",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Roseland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.