Frank J Pecoraro DDS PA Richard M Kelner DMD PA

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

22DI00884501 Issued in NJ

Legal business name

FRANK J PECORARO DDS PA RICHARD M KELNER DMD PA

Practice address

1119 Raritan Rd
Suite 1
Clark, NJ 07066-1315

Phone

(732) 382-9090

Fax

(732) 396-1527

NPI assigned

Mar 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard M Kelner, DMD

Title

Doctor DMD

Phone

(732) 382-9090

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa L Pecoraro, DMD

  • Periodontics
  • Clark, NJ
  • NPI 1457329328
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1598733404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 RARITAN RD",
            "address_2": "SUITE 1",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661315",
            "telephone_number": "732-382-9090",
            "fax_number": "732-396-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 RARITAN RD",
            "address_2": "SUITE 1",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661315",
            "telephone_number": "732-382-9090",
            "fax_number": "732-396-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK J PECORARO DDS PA RICHARD M KELNER DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "KELNER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR DMD",
        "authorized_official_telephone_number": "732-382-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI00884501",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI00899901",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI02152901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Andrew Finkel, MD
• First Health, P.a.
• Mary Anita Flanagan Buchbinder, DMD
• Dora Luisa Flores-Ryan, MSN, RNC, CNM
• Foundations Autism LLC
• Brandon Fredhoff, PT DPT
• Matthew Fredrick, PT, DPT
• Hannah Rose Friedman, DPT
• Robert Alan Fuhrman, M.D.
• Adam Furman

• Periodontics in Clark, NJ
• Providers in Clark, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.