Individual provider Active NPI

David Federici, D.M.D.

  • General Practice Dentistry
  • Manahawkin, NJ
National Provider Identifier
1508008731
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18343 Issued in NJ
Practice address
1301 Route 72 W Ste 230
Manahawkin, NJ 08050-2483
Phone
(609) 597-1234
Fax
(609) 597-8873
NPI assigned
Apr 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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 18343 NJ Primary

Addresses

Primary practice location

1301 Route 72 W Ste 230
Manahawkin, NJ 08050-2483

Mailing address

1301 Route 72 W Ste 230
Manahawkin, NJ 08050-2483
Phone (609) 597-1234

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170814003135 NJ Order and Referring Only - DentistPractitioner - Dentist 3375815103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18343NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Select Dental Manahawkin, PA General Practice CurrentSince Feb 7, 2007 Accepting new patients

Locations

1301 Route 72 W
Ste 230
Manahawkin, NJ 08050
Phone (609) 597-1234

Organizations & group practices 1

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": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1508008731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 ROUTE 72 W STE 230",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502483",
            "telephone_number": "609-597-1234",
            "fax_number": "609-597-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 ROUTE 72 W STE 230",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502483",
            "telephone_number": "609-597-1234",
            "fax_number": "609-597-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDERICI",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "18343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.