Active NPI
Carlos Moglianesi, D.M.D.
- Prosthodontics
- New Providence, NJ
National Provider Identifier
1528125689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 15175
- Practice address
- 1806 Springfield Ave
New Providence, NJ 07974-1005 - Phone
- (908) 665-2300
- Fax
- (908) 665-9299
- NPI assigned
- Jan 1, 2007
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 15175 | NJ | Primary |
Addresses
Primary practice location
1806 Springfield Ave
New Providence, NJ 07974-1005
Mailing address
1806 Springfield Ave
New Providence, NJ 07974-1005
Phone (908) 665-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15175 | NJ | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528125689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1806 SPRINGFIELD AVE",
"city": "NEW PROVIDENCE",
"state": "NJ",
"postal_code": "079741005",
"telephone_number": "908-665-2300",
"fax_number": "908-665-9299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1806 SPRINGFIELD AVE",
"city": "NEW PROVIDENCE",
"state": "NJ",
"postal_code": "079741005",
"telephone_number": "908-665-2300",
"fax_number": "908-665-9299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOGLIANESI",
"first_name": "CARLOS",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NJ",
"license": "15175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Providence, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.