Active NPI
Santo O. Trufolo, DMD, LLC & Aleksandr I. Shor DMD
- General Practice Dentistry
- Brick, NJ
National Provider Identifier
1407988280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SANTO O. TRUFOLO, DMD, LLC & ALEKSANDR I. SHOR DMD
- Practice address
- 445 Brick Blvd
Suite #307
Brick, NJ 08723-6048 - Phone
- (732) 477-1335
- Fax
- (732) 920-5758
- NPI assigned
- Mar 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pat Markowski
- Title
- Office MGR.
- Phone
- (732) 477-1335
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
445 Brick Blvd
Suite #307
Brick, NJ 08723-6048
Mailing address
445 Brick Blvd
Suite #307
Brick, NJ 08723-6048
Phone (732) 477-1335
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22DI0137280 | Other | NJ | GENERAL DENTIST |
| 22DI0215140 | Other | NJ | GENERAL DENTIST |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394064000000",
"number": "1407988280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 BRICK BLVD",
"address_2": "SUITE #307",
"city": "BRICK",
"state": "NJ",
"postal_code": "087236048",
"telephone_number": "732-477-1335",
"fax_number": "732-920-5758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 BRICK BLVD",
"address_2": "SUITE #307",
"city": "BRICK",
"state": "NJ",
"postal_code": "087236048",
"telephone_number": "732-477-1335",
"fax_number": "732-920-5758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTO O. TRUFOLO, DMD, LLC & ALEKSANDR I. SHOR DMD",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-09",
"last_updated": "2014-03-06",
"status": "A",
"authorized_official_last_name": "MARKOWSKI",
"authorized_official_first_name": "PAT",
"authorized_official_title_or_position": "OFFICE MGR.",
"authorized_official_telephone_number": "732-477-1335"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GENERAL DENTIST",
"identifier": "22DI0137280",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GENERAL DENTIST",
"identifier": "22DI0215140",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.