Victor Paul Terranova, D.M.D., M.S., PH.D

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

22DI00946500 Issued in NJ

Practice address

1 W Broadway
Paterson, NJ 07505-1014

Phone

(973) 684-3803

Fax

(973) 742-8223

NPI assigned

Aug 18, 2008

Last updated

Oct 30, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Broadway Dental PA

  • Dentist
  • Paterson, NJ
  • NPI 1801929591
  NPD (past)

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1396991642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WEST BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07505",
            "telephone_number": "973-684-3803",
            "fax_number": "973-742-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051014",
            "telephone_number": "973-684-3803",
            "fax_number": "973-742-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRANOVA",
        "first_name": "VICTOR",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S., PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI00946500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Usha Tejwaney, PHARM.D
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• Carlos A Tello, MD PA
• Tengson Medical Office, LLC
• Roger C Tengson Jr., M.D.
• Deborah Terrone, NP
• Ullas Thannickal
• The Amazing Help Inc
• The Challenge Program of NJ
• The Chiropractic Center

• Periodontics in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.