Active NPI
Joel Nicholas Pascuzzi, DMD
- Periodontics
- Bayonne, NJ
National Provider Identifier
1508910266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 9447
- Practice address
- 19 W 33Rd St
A
Bayonne, NJ 07002-3916 - Phone
- (201) 437-9098
- Fax
- (201) 436-1595
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 9447 | NJ | Primary |
Addresses
Primary practice location
19 W 33Rd St
A
Bayonne, NJ 07002-3916
Mailing address
7 Hickory Rd
Summit, NJ 07901-1623
Phone (908) 693-7511
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110927000538 | NJ | Order and Referring Only - Oral Surgery | 9436320272 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9447 | NJ | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508910266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 HICKORY RD",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079011623",
"telephone_number": "908-693-7511",
"fax_number": "908-277-1591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 W 33RD ST",
"address_2": "A",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070023916",
"telephone_number": "201-437-9098",
"fax_number": "201-436-1595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCUZZI",
"first_name": "JOEL",
"middle_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NJ",
"license": "9447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.