Active NPI
Donald Anthony Fanelli, DMD
- Dentist
- Rutherford, NJ
National Provider Identifier
1376727222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI01210500
- Practice address
- 19 Franklin Place
Rutherford, NJ 07070-1707 - Phone
- (201) 460-0820
- Fax
- (201) 460-1272
- NPI assigned
- Dec 27, 2007
- Last updated
- Dec 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI01210500 | NJ | Primary |
Addresses
Primary practice location
19 Franklin Place
Rutherford, NJ 07070-1707
Mailing address
19 Franklin Place
Rutherford, NJ 07070-1707
Phone (201) 460-0820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160523000537 | NJ | Order and Referring Only - Dentist | 5395034805 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198713600000",
"number": "1376727222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 FRANKLIN PLACE",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "070701707",
"telephone_number": "201-460-0820",
"fax_number": "201-460-1272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 FRANKLIN PLACE",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "070701707",
"telephone_number": "201-460-0820",
"fax_number": "201-460-1272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANELLI",
"first_name": "DONALD",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-27",
"last_updated": "2007-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI01210500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rutherford, NJ
- Enclave Home Health Solutions
- Henry Espinal, LMHC, LPC
- Sandra M. Esteves, APN
- Family Center for Otolaryngology Inc (The Family Center for Otolaryngology Inc)
- Family Dentistry by Dr. Maria M Rincon-Lorenzo DDS LLC
- Maryam Farag
- Fastcare Medical Transportation
- Oren Feder, M.D.
- Felician University (Felician Sports Medicine)
- Dean Thomas Filion, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.