Individual provider Active NPI

Kurt Notarnicola, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Mount Arlington, NJ
National Provider Identifier
1477518181
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DI21734 Issued in NJ
Practice address
22 Howard Blvd
Suite 201
Mount Arlington, NJ 07856-1532
Phone
(973) 601-0606
Fax
(973) 601-1444
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 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 DI21734 NJ Primary

Addresses

Primary practice location

22 Howard Blvd
Suite 201
Mount Arlington, NJ 07856-1532

Mailing address

22 Howard Blvd
Suite 201
Mount Arlington, NJ 07856-1532
Phone (973) 601-0606

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

State licenses

LicenseStateTypeSpecialty
DI21734NJMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Richard D Riva DDS & Gerard a Begley DMD LLC Oral and Maxillofacial Surgery Past Accepting new patients
Morris Sussex Oral Surgery Associates, LLC Oral and Maxillofacial Surgery Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1477518181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HOWARD BLVD",
            "address_2": "SUITE 201",
            "city": "MOUNT ARLINGTON",
            "state": "NJ",
            "postal_code": "078561532",
            "telephone_number": "973-601-0606",
            "fax_number": "973-601-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HOWARD BLVD",
            "address_2": "SUITE 201",
            "city": "MOUNT ARLINGTON",
            "state": "NJ",
            "postal_code": "078561532",
            "telephone_number": "973-601-0606",
            "fax_number": "973-601-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTARNICOLA",
        "first_name": "KURT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "DI21734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Arlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.