Derek Fine, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22D101607500 Issued in NJ

Practice address

35 W Main St
Suite # 208
Denville, NJ 07834-2174

Phone

(973) 627-3617

Fax

(973) 627-5069

NPI assigned

Jan 4, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Aesthetic Family Dentistry P.a.

  • General Practice Dentistry
  • Denville, NJ
  • NPI 1164579934
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619024478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 W MAIN ST",
            "address_2": "SUITE # 208",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342174",
            "telephone_number": "973-627-3617",
            "fax_number": "973-627-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 W MAIN ST",
            "address_2": "SUITE # 208",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342174",
            "telephone_number": "973-627-3617",
            "fax_number": "973-627-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINE",
        "first_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D101607500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lois Fern Fermaglich, MD
• Bolivia Crocete Aloysia Fernandes, M.D.
• Daniel Paul Ferrante, D.O.
• Stephen Todd Feuer, D.D.S
• Lewis Edward Figatner, DDS
• Richard Finkel, MD
• Eric J Finn, MA
• First Urgent Medical Care PC
• Steven Henry Fisher, D.D.S.
• Matthew Fitzpatrick, PHARMD

• General Practice Dentistry in Denville, NJ
• Providers in Denville, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.