Anthony Joseph Massenzio Jr., DMD

Primary specialty

DentistTaxonomy code 122300000X

License

9276 Issued in NJ

Practice address

69 S Martine Ave
Fanwood, NJ 07023-1636

Phone

(908) 889-2242

NPI assigned

Jul 23, 2007

Last updated

Jul 24, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

State licenses

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1497955801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 S MARTINE AVE",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231636",
            "telephone_number": "908-889-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 S MARTINE AVE",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231636",
            "telephone_number": "908-889-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSENZIO",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "9276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Magrino, PA-C
• Christine Mahoney, L.P.C.
• Samantha Marder, LCSW, MPH
• Abigail Markovich, M.S. ED, BCBA
• William O Martin, D.C.
• Michelle Mauer, OTR/L
• Erin A McElroy Barker, LCSW
• Sharon McNeil, BCBA
• Meaningful Touch Homecare
• Mellowminds Psychiatric Services LLC

• Dentist in Fanwood, NJ
• Providers in Fanwood, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.