Individual provider Active NPI

Philip Edward Toaldo, DDS

  • General Practice Dentistry
  • Nutley, NJ
National Provider Identifier
1508959073
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10302 Issued in NJ
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

Updated by the provider on Jul 8, 2007

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150429000437 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6002135803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10302NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.