Active NPI
Deyanira Morgado, DMD
- General Practice Dentistry
- Egg Harbor Township, NJ
National Provider Identifier
1386489425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI03032400
- Practice address
- 3069 English Creek Ave Ste 304
Egg Harbor Township, NJ 08234-9708 - Phone
- (609) 645-1900
- NPI assigned
- Jun 29, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI03032400 | NJ | Primary |
Addresses
Primary practice location
3069 English Creek Ave Ste 304
Egg Harbor Township, NJ 08234-9708
Mailing address
115 Balfour Ave
Linwood, NJ 08221-2304
Phone (786) 520-9600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI03032400 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Smiles LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Egg Harbor Township, NJ
- NPI 1023273695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719619200000",
"number": "1386489425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 BALFOUR AVE",
"city": "LINWOOD",
"state": "NJ",
"postal_code": "082212304",
"telephone_number": "786-520-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3069 ENGLISH CREEK AVE STE 304",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "082349708",
"telephone_number": "609-645-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGADO",
"first_name": "DEYANIRA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-29",
"last_updated": "2024-06-29",
"certification_date": "2024-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI03032400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Egg Harbor Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.