Active NPI
Anthony Navilio, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Manahawkin, NJ
National Provider Identifier
1568439099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DI17809
- 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, 2022
- 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 |
|---|---|---|---|---|
| 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 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
| License | State | Type | Specialty |
|---|---|---|---|
| DI17809 | NJ | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Ocean Osic, Inc | Current | 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.
-
dba Southern Ocean Oral Surgery & Implant Center
- Oral & Maxillofacial Surgery (D.M.D.)
- Manahawkin, NJ
- NPI 1760910046
-
- Oral and Maxillofacial Surgery (Dentist)
- Manahawkin, NJ
- NPI 1346414570
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.