Individual provider Active NPI

Andrew Peter Galante, D.M.D.

  • General Practice Dentistry
  • Warren, NJ
National Provider Identifier
1609963487
Registry record updated Oct 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9058 Issued in NJ
Practice address
31 Mountain Blvd BLDG D
Warren, NJ 07059-5649
Phone
(908) 561-3939
Fax
(908) 561-3384
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9058 NJ Primary

Addresses

Primary practice location

31 Mountain Blvd BLDG D
Warren, NJ 07059-5649

Mailing address

31 Mountain Blvd BLDG D
Warren, NJ 07059-5649
Phone (908) 561-3939

Other identifiers 1

IdentifierTypeStateIssuer
22-2028869OtherNJFEDERAL TAX I.D.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160818001628 NJ Order and Referring Only - DentistPractitioner - Dentist 8123313970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9058NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443830400000",
    "number": "1609963487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MOUNTAIN BLVD BLDG D",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595649",
            "telephone_number": "908-561-3939",
            "fax_number": "908-561-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MOUNTAIN BLVD BLDG D",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595649",
            "telephone_number": "908-561-3939",
            "fax_number": "908-561-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALANTE",
        "first_name": "ANDREW",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2015-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "9058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX I.D.",
            "identifier": "22-2028869",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

Verify at the official NPI Registry.