Organization Active NPI

Marlboro Dental Arts

  • General Practice Dentistry
  • Morganville, NJ
National Provider Identifier
1396868154
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI02239800 Issued in NJ
Legal business name
MARLBORO DENTAL ARTS
Practice address
242 State Route 79 N
Suite 7
Morganville, NJ 07751-2078
Phone
(732) 817-1100
Fax
(732) 817-1102
NPI assigned
Apr 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen Abbaticchio, D.D.S.NPI 1922061274
Title
Owner
Phone
(732) 817-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI02239800 NJ Primary

Addresses

Primary practice location

242 State Route 79 N
Suite 7
Morganville, NJ 07751-2078

Mailing address

242 State Route 79 N
Suite 7
Morganville, NJ 07751
Phone (732) 817-1100

National Provider Directory

National Provider Directory

Locations

242 State Route 79 N
Ste 7
Morganville, NJ 07751
Phone (732) 817-1100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396868154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 STATE ROUTE 79 N",
            "address_2": "SUITE 7",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "07751",
            "telephone_number": "732-817-1100",
            "fax_number": "732-817-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 STATE ROUTE 79 N",
            "address_2": "SUITE 7",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077512078",
            "telephone_number": "732-817-1100",
            "fax_number": "732-817-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLBORO DENTAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABBATICCHIO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-817-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI02239800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.