Individual provider Active NPI

Daniel Joseph Grasso, DMD

  • Dentist
  • Brick, NJ
National Provider Identifier
1548261084
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI13579 Issued in NJ
Practice address
200 Jack Martin Blvd
Suite a-4
Brick, NJ 08724-7769
Phone
(732) 458-5898
Fax
(732) 458-5382
NPI assigned
Aug 9, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DI13579 NJ Primary

Addresses

Primary practice location

200 Jack Martin Blvd
Suite a-4
Brick, NJ 08724-7769

Mailing address

200 Jack Martin Blvd
Suite a-4
Brick, NJ 08724-7769
Phone (732) 458-5898

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
I20160129000605 NJ Order and Referring Only - DentistPractitioner - Dentist 6901109636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI13579NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1548261084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JACK MARTIN BLVD",
            "address_2": "SUITE A-4",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247769",
            "telephone_number": "732-458-5898",
            "fax_number": "732-458-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JACK MARTIN BLVD",
            "address_2": "SUITE A-4",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247769",
            "telephone_number": "732-458-5898",
            "fax_number": "732-458-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASSO",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI13579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.