Christopher Cermenello, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DR03288 Issued in NJ

Practice address

325 Broadway
Long Branch, NJ 07740

Phone

(347) 495-8992

NPI assigned

Jul 2, 2018

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539475200000",
    "number": "1518453604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 BROADWAY",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 BROADWAY",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "07740",
            "telephone_number": "347-495-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERMENELLO",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DR03288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Eleanor Carr, DPT
• Virginia L Carreira, RN,FNP,C
• Rosemary Josefa Carvajal, PT, DPT
• Erika Cataldi, RN
• Merve Celebi, MD
• Robert Chabot, PHD
• Rutuja Challawar, MD
• Nakul Chandra, MD
• Linda Charles
• Aadya Chawla, MD

• General Practice Dentistry in Long Branch, NJ
• Providers in Long Branch, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.