Active NPI
Philip Edward Toaldo, DDS
- General Practice Dentistry
- Nutley, NJ
National Provider Identifier
1508959073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10302
- Practice address
- 422 Franklin Ave
Nutley, NJ 07110-2321 - Phone
- (973) 235-9440
- Fax
- (973) 667-8850
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10302 | NJ | Primary |
Addresses
Primary practice location
422 Franklin Ave
Nutley, NJ 07110-2321
Mailing address
43 Rabkin Dr
Clifton, NJ 07013-4113
Phone (973) 473-0205
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 |
|---|---|---|---|---|
| I20150429000437 | NJ | Order and Referring Only - Oral Surgery | 6002135803 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10302 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutley Family Dentists, LLC | General Practice | Past | Accepting new patients |
| Philip E Toaldo, DDS. PA | 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.
-
- Dentist
- Nutley, NJ
- NPI 1558754721
-
- General Practice Dentistry
- Nutley, NJ
- NPI 1730613613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508959073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 RABKIN DR",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070134113",
"telephone_number": "973-473-0205",
"fax_number": "973-667-8850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 FRANKLIN AVE",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071102321",
"telephone_number": "973-235-9440",
"fax_number": "973-667-8850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOALDO",
"first_name": "PHILIP",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "10302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nutley, 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.