Michele Jillian Carunchio, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22DI02491307 Issued in NJ

Practice address

70 Hudson St Ste 7
Hoboken, NJ 07030-5618

Phone

(201) 659-6999

NPI assigned

May 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Smiles Unlimited, PC

  • Dental Clinic/Center
  • Bronx, NY
  • NPI 1295011195
  NPD (past)
• Mid-Manhattan Oral Surgery PC

  • Specialist
  • New York, NY
  • NPI 1881072866
  NPD (past)

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

{
    "created_epoch": "1304726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1457643553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 AIRMOUNT AVE",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461225",
            "telephone_number": "201-988-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 HUDSON ST STE 7",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305618",
            "telephone_number": "201-659-6999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 E 41st St Rm 1102",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100176287",
            "country_code": "US",
            "telephone_number": "212-696-2677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Bartow Ave Ste 218B",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104754614",
            "country_code": "US",
            "telephone_number": "718-708-8144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARUNCHIO",
        "first_name": "MICHELE",
        "middle_name": "JILLIAN",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "059187",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "290429",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02491307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Elise Carneiro
• Jill Carpenter, LCSW
• Jillian L Carroll, APN
• Amy Carstensen, NP
• Tara Carter, RN, IBCLC
• Catherine Maria Castro
• Simonne Cazoe
• Marianne T. Centanni, M.D.
• Center for Specialized Psychology, LLC
• Dean Richard Cerio, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.