Active NPI
Phachara Stancu, DMD
- General Practice Dentistry
- Rockledge, PA
National Provider Identifier
1407548803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS044564
- Practice address
- 406A Huntingdon Pike
Rockledge, PA 19046-4472 - Phone
- (215) 663-1610
- NPI assigned
- May 23, 2023
- Last updated
- Sep 16, 2025
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02971601 | NJ | |
| Dentist | 122300000X | DS044564 | PA | |
| Dentist | 122300000X | 22DI02971600 | NJ | |
| General Practice Dentistry | 1223G0001X | DS044564 | PA | Primary |
| General Practice Dentistry | 1223G0001X | 22DI02971600 | NJ |
Addresses
Primary practice location
406A Huntingdon Pike
Rockledge, PA 19046-4472
Mailing address
29 Hanover Rd
Marlton, NJ 08053-1905
Other practice location 1
402 S White Horse Pike
Magnolia, NJ 08049-1061
Phone (856) 566-9700
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 |
|---|---|---|---|
| 22DI02971601 | NJ | MD | Dentist |
| 22DI02971600 | NJ | MD | General Practice Dentistry |
| DS044564 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barrington Dental Associates LLC | General Practice | Past | Accepting new patients |
| Brilliant Smiles Dental Group - Magnolia LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Barrington, NJ
- NPI 1538389309
-
dba Hometown Family Dental
- Dentist
- Magnolia, NJ
- NPI 1538455324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1407548803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 HANOVER RD",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080531905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406A HUNTINGDON PIKE",
"city": "ROCKLEDGE",
"state": "PA",
"postal_code": "190464472",
"telephone_number": "215-663-1610"
}
],
"practiceLocations": [
{
"address_1": "402 S White Horse Pike",
"address_purpose": "LOCATION",
"city": "Magnolia",
"state": "NJ",
"postal_code": "080491061",
"country_code": "US",
"telephone_number": "856-566-9700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STANCU",
"first_name": "PHACHARA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-23",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02971601",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS044564",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02971600",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS044564",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02971600",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockledge, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.