Active NPI
Sally Mary Guerrasio, DMD
- Pediatric Dentistry
- Little Silver, NJ
National Provider Identifier
1497910954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 22DI02382600
- Practice address
- 200 White Rd
Suite 113
Little Silver, NJ 07739-1150 - Phone
- (732) 842-1155
- NPI assigned
- Jul 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DI02382600 | NJ | |
| Pediatric Dentistry | 1223P0221X | 22DI02382600 | NJ | Primary |
Addresses
Primary practice location
200 White Rd
Suite 113
Little Silver, NJ 07739-1150
Mailing address
200 White Rd
Suite 113
Little Silver, NJ 07739-1150
Phone (732) 842-1155
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
| License | State | Type | Specialty |
|---|---|---|---|
| DI02382600 | NJ | MD | Dentist |
| 22DI02382600 | NJ | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511827200000",
"number": "1497910954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WHITE RD",
"address_2": "SUITE 113",
"city": "LITTLE SILVER",
"state": "NJ",
"postal_code": "077391150",
"telephone_number": "732-842-1155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WHITE RD",
"address_2": "SUITE 113",
"city": "LITTLE SILVER",
"state": "NJ",
"postal_code": "077391150",
"telephone_number": "732-842-1155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRASIO",
"first_name": "SALLY",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-24",
"last_updated": "2017-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "DI02382600",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "22DI02382600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Silver, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.