Adh, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI017432 Issued in NJ

Legal business name

ADH, P.A.

Practice address

1630 State Route 31
Clinton, NJ 08809-2004

Phone

(908) 730-8880

NPI assigned

Jan 4, 2018

Last updated

Feb 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen Abbaticchio, DDS

Title

Owner

Phone

(732) 981-1777

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1619484391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 HOOPER AVE STE 301",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538361",
            "telephone_number": "732-914-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 STATE ROUTE 31",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "088092004",
            "telephone_number": "908-730-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADH, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "ABBATICCHIO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-981-1777",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI017432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Clinton, NJ
• Providers in Clinton, 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 Feb 20, 2019; 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.