Michael John Dicarlo, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02604100 Issued in NJ

Practice address

475 Seaview Avenue
Staten Island University Hospital Dental Dept
Staten Island, NY 10305

Phone

(718) 226-9877

NPI assigned

Apr 27, 2012

Last updated

Apr 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael Dicarlo DDS PC

  dba Dental Health Center of Holmdel

  • Dental Clinic/Center
  • Holmdel, NJ
  • NPI 1063919835
  NPD (past) Authorized official
• Dental Health Center of Holmdel

  • General Practice Dentistry
  • Holmdel, NJ
  • NPI 1063556348
  NPD (past)

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1467710426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 STATE ROUTE 34 STE 200",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332416",
            "telephone_number": "732-946-4244",
            "fax_number": "732-946-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SEAVIEW AVENUE",
            "address_2": "STATEN ISLAND UNIVERSITY HOSPITAL DENTAL DEPT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10305",
            "telephone_number": "718-226-9877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 State Route 34 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Holmdel",
            "state": "NJ",
            "postal_code": "077332416",
            "country_code": "US",
            "telephone_number": "732-946-4244",
            "fax_number": "732-946-4492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICARLO",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-27",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02604100",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Diblasi, M.S. OTR/L
• Karen Dibona-Scamardella, DDS
• Anna Dibona, MD
• Mark Dibuono, MD
• Kayla Dicaprio
• Jennifer Suzanna Dicaro, M.S. OTR/L
• Desiree Alanna Dickens, LMHC
• Lisa Beth Dickstein, MS CCC SLP
• Kristyn Blake Dicostanzo
• Ashley Dicrescento

• General Practice Dentistry in Staten Island, NY
• Providers in Staten Island, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.