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

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 and National Provider Directory roles.

• Jorge O Cordova Inc

  • 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.