M Clemente DMD PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

9757 Issued in NJ

Legal business name

M CLEMENTE DMD PA

Practice address

60 W Ridgewood Ave
Ridgewood, NJ 07450-3197

Phone

(201) 447-2888

Fax

(201) 447-3834

NPI assigned

Feb 25, 2014

Organization subpart

No

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

Authorized official

Name

Lauren Robertson

Title

Financial Coordinator

Phone

(201) 447-2888

Specialties & licenses 1

Addresses

Other names 1

• Clemente Orthodontics Doing business as

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1447675673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W RIDGEWOOD AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503197",
            "telephone_number": "201-447-2888",
            "fax_number": "201-447-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 W RIDGEWOOD AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503197",
            "telephone_number": "201-447-2888",
            "fax_number": "201-447-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M CLEMENTE DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "201-447-2888"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "9757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clemente Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• M & C Drug Inc
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• Jessica Marie Macchio, APN
• Rochelle Barrows Mackey, RN, MA, APN, AHNC
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• John E. Macri, PH.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.