Individual provider Active NPI

Patricia Ortiz Patterne, DMD

  • General Practice Dentistry
  • Parsippany, NJ
National Provider Identifier
1437145778
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02040500 Issued in NJ
Practice address
540 Vail Rd
Parsippany, NJ 07054-1433
Phone
(973) 402-9228
Fax
(973) 402-9566
NPI assigned
Sep 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02040500 NJ Primary

Addresses

Primary practice location

540 Vail Rd
Parsippany, NJ 07054-1433

Mailing address

540 Vail Rd
Parsippany, NJ 07054-1433
Phone (973) 402-9228

Other identifiers 1

IdentifierTypeStateIssuer
20405OtherNJDELTA DENTAL

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

LicenseStateTypeSpecialty
22DI02040500NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437145778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 VAIL RD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541433",
            "telephone_number": "973-402-9228",
            "fax_number": "973-402-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 VAIL RD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541433",
            "telephone_number": "973-402-9228",
            "fax_number": "973-402-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERNE",
        "first_name": "PATRICIA",
        "middle_name": "ORTIZ",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02040500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "20405",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.