Individual provider Active NPI

John Paul Amato, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • West Orange, NJ
National Provider Identifier
1457487407
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DI02410700 Issued in NJ
Practice address
101 Old Short Hills Rd
PH2
West Orange, NJ 07052-1000
Phone
(973) 736-1714
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DI02410700 NJ Primary

Addresses

Primary practice location

101 Old Short Hills Rd
PH2
West Orange, NJ 07052-1000

Mailing address

101 Old Short Hills Rd
PH2
West Orange, NJ 07052-1000
Phone (973) 736-1714

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DI02410700NJMDOral and Maxillofacial Surgery (Dentist)

Interoperability endpoints

  • Direct secure messaging: jamato255313@epicdirect.rwjbh.org

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1457487407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS RD",
            "address_2": "PH2",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521000",
            "telephone_number": "973-736-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS RD",
            "address_2": "PH2",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521000",
            "telephone_number": "973-736-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMATO",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "DI02410700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.