Organization Active NPI

Dental Specialties of Monmouth County, P.a.

  • Dentist
  • Howell, NJ
National Provider Identifier
1386028108
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI017432 Issued in NJ
Legal business name
DENTAL SPECIALTIES OF MONMOUTH COUNTY, P.A.
Practice address
4562 Route 9 S
Howell, NJ 07731-3771
Phone
(732) 474-6500
Fax
(732) 474-6550
NPI assigned
Jul 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Authorized official

Name
Stephen Abbaticchio, DDS
Title
Owner
Phone
(973) 334-3811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 22DI017432 NJ Primary

Addresses

Primary practice location

4562 Route 9 S
Howell, NJ 07731-3771

Mailing address

1144 Hooper Ave
Suite 301
Toms River, NJ 08753-8361
Phone (732) 914-1039

National Provider Directory

National Provider Directory

Locations

4562 Route 9 S
Howell, NJ 07731
Phone (732) 474-6500

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1386028108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 HOOPER AVE",
            "address_2": "SUITE 301",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538361",
            "telephone_number": "732-914-1039",
            "fax_number": "732-914-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4562 ROUTE 9 S",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313771",
            "telephone_number": "732-474-6500",
            "fax_number": "732-474-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SPECIALTIES OF MONMOUTH COUNTY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "ABBATICCHIO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-334-3811",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI017432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.