Individual provider Active NPI

Anthony V. Parrillo, D.D.S

  • General Practice Dentistry
  • Bloomfield, NJ
National Provider Identifier
1467626721
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01023300 Issued in NJ
Practice address
171 Willard Ave
Bloomfield, NJ 07003-4800
Phone
(973) 743-7271
Fax
(973) 743-7271
NPI assigned
Apr 17, 2008
Last updated
Apr 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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 22DI01023300 NJ Primary

Addresses

Primary practice location

171 Willard Ave
Bloomfield, NJ 07003-4800

Mailing address

171 Willard Ave
Bloomfield, NJ 07003-4800
Phone (973) 743-7271

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
22DI01023300NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1467626721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 WILLARD AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034800",
            "telephone_number": "973-743-7271",
            "fax_number": "973-743-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 WILLARD AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034800",
            "telephone_number": "973-743-7271",
            "fax_number": "973-743-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRILLO",
        "first_name": "ANTHONY",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01023300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.