Organization Active NPI

Frederick J Carbone DDS LLC

  • Dental Clinic/Center
  • Roseland, NJ
National Provider Identifier
1336909118
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Dr. Frederick J Carbone, DDSNPI 1619986783
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
22-2662322OtherTID FOR FREDERICK J CARBONE DDS
1619986783OtherNPI FOR FREDERICK J CARBONE DDS

Other names 1

  • Frederick J Carbone DDS Former legal business name

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.