Jonnathan Matute, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02808200 Issued in NJ

Practice address

272 US Highway 46
Rockaway, NJ 07866-3826

Phone

(973) 627-2121

NPI assigned

Mar 27, 2020

Last updated

Aug 30, 2021By 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 2

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.

• Jorge O Cordova Inc

  dba J C Dental

  • General Practice Dentistry
  • Rockaway, NJ
  • NPI 1063593358
  NPD (past)

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1366070351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 VINE ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 US HIGHWAY 46",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663826",
            "telephone_number": "973-627-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "289 Market St",
            "address_purpose": "LOCATION",
            "city": "Saddle Brook",
            "state": "NJ",
            "postal_code": "076636048",
            "country_code": "US",
            "telephone_number": "201-368-9222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATUTE",
        "first_name": "JONNATHAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02808200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Falzo
• Taner Aydin Marquez, RPH
• Ninette V Martinez
• Alicia Mastrangelo
• April Joan Matera-Patiro, LCSW
• Maximum Health & Wellness Rockaway
• Robert Mazzucco, LPC
• Caitlin Margaret McAloon
• Daniel Patrick McGuire, DC
• Kelly McGuire

• General Practice Dentistry in Rockaway, NJ
• Providers in Rockaway, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.