Marco Bongarzone, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

Practice address

4001 Asbury Ave
Suite 1
Tinton Falls, NJ 07753-7793

Phone

(732) 922-1060

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Care Dentistry LLC

  • Dentist
  • Watchung, NJ
  • NPI 1699402230
  NPD (past)
• Twenty-First Century Dental, P.C.

  • General Practice Dentistry
  • Tinton Falls, NJ
  • NPI 1366524456
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558443622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 POPLAR AVE",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 ASBURY AVE",
            "address_2": "SUITE 1",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077537793",
            "telephone_number": "732-922-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONGARZONE",
        "first_name": "MARCO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margot Bifulco, OTR/L
• Melissa Blackburn, D.O
• Joseph G Boak Jr., MD
• Board of Education of Tinton Falls
• Body in Motion Sports & Orthopaedics, Inc.
• Simone Nimtzovitch Borger
• Mary Rose Boutros, AGNP
• Bravebeginnings
• Brdocs LLC
• Dolores Eaton Brennan

• Dentist in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Dentist in New Jersey

• 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.

Verify at the official NPI Registry.