Organization Active NPI

Santo O. Trufolo, DMD, LLC & Aleksandr I. Shor DMD

  • General Practice Dentistry
  • Brick, NJ
National Provider Identifier
1407988280
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Mar 6, 2014

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
22DI0137280OtherNJGENERAL DENTIST
22DI0215140OtherNJGENERAL DENTIST

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.