Individual provider Active NPI

Anthony Navilio, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Manahawkin, NJ
National Provider Identifier
1568439099
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DI17809 Issued in NJ
Practice address
1322 Route 72 W Ste 204
Manahawkin, NJ 08050-2486
Phone
(609) 978-1300
Fax
(609) 978-5550
NPI assigned
Mar 3, 2006
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DI17809 NJ Primary

Addresses

Primary practice location

1322 Route 72 W Ste 204
Manahawkin, NJ 08050-2486

Mailing address

1322 Route 72 W Ste 204
Manahawkin, NJ 08050-2486
Phone (609) 978-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 20, 2025 through Oct 20, 2027

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Maxillofacial Surgery
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1322 RT 72
Suite 204
Manahawkin, NJ 08050-2486

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI17809NJMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Ocean Osic, Inc CurrentSince Feb 6, 2022 Accepting new patients

Locations

1322 Route 72 W
Ste 204
Manahawkin, NJ 08050
Phone (609) 350-2524

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1568439099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 ROUTE 72 W STE 204",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502486",
            "telephone_number": "609-978-1300",
            "fax_number": "609-978-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 ROUTE 72 W STE 204",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502486",
            "telephone_number": "609-978-1300",
            "fax_number": "609-978-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVILIO",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "DI17809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.