Active NPI
Genualdi Orthodontic Associates, PA
- Orthodontics and Dentofacial Orthopedics Dentistry
- Summit, NJ
National Provider Identifier
1609088699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- GENUALDI ORTHODONTIC ASSOCIATES, PA
- Practice address
- 52 Deforest Ave
Summit, NJ 07901-1930 - Phone
- (908) 273-7450
- Fax
- (908) 273-7633
- NPI assigned
- May 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Genualdi, D.M.D.
- Title
- Vice-President
- Phone
- (908) 273-7450
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
52 Deforest Ave
Summit, NJ 07901-1930
Mailing address
52 Deforest Ave
Summit, NJ 07901-1930
Phone (908) 273-7450
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609088699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 DEFOREST AVE",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079011930",
"telephone_number": "908-273-7450",
"fax_number": "908-273-7633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 DEFOREST AVE",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079011930",
"telephone_number": "908-273-7450",
"fax_number": "908-273-7633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENUALDI ORTHODONTIC ASSOCIATES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GENUALDI",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "908-273-7450",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.