Joseph Basilicato DMD LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

JOSEPH BASILICATO DMD LLC

Practice address

191 Hamburg Tpke
Suite 6
Pompton Lakes, NJ 07442-2330

Phone

(973) 831-0109

Fax

(973) 831-6399

NPI assigned

Oct 18, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Joseph A Basilicato, D.M.D.NPI 1306915202

Title

Owner/Dentist

Phone

(973) 831-0109

Specialties & licenses 1

Addresses

Other names 1

• Smile Care for Kids Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Albert Basilicato, D.M.D.

  • Pediatric Dentistry
  • Pompton Lakes, NJ
  • NPI 1306915202
  NPD (past) Authorized official

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1346791084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 HAMBURG TPKE",
            "address_2": "SUITE 6",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074422330",
            "telephone_number": "973-831-0109",
            "fax_number": "973-831-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 HAMBURG TPKE",
            "address_2": "SUITE 6",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074422330",
            "telephone_number": "973-831-0109",
            "fax_number": "973-831-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH BASILICATO DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "BASILICATO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "973-831-0109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Care for Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barry G Inglett, PT
• Interventional Pain Associates
• Caren E Jacobs, LCSW
• Camille Jean Jadotte, RN
• Gary Jannarone, D.M.D.
• Laura Judge, MS, ATC
• Arijeta Kaba, PHARMD
• Karl Roman
• Karl Roman
• Karl Roman

• 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 Oct 18, 2016; 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.