Active NPI
Christine M. Delduca, D.M.D.
- General Practice Dentistry
- Millburn, NJ
National Provider Identifier
1629071113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 20489
- Practice address
- 101 Millburn Ave
Millburn, NJ 07041-1917 - Phone
- (973) 763-3373
- Fax
- (973) 763-5402
- NPI assigned
- May 27, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 20489 | NJ | Primary |
Addresses
Primary practice location
101 Millburn Ave
Millburn, NJ 07041-1917
Mailing address
101 Millburn Ave
Millburn, NJ 07041-1917
Phone (973) 763-3373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20489 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1629071113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MILLBURN AVE",
"city": "MILLBURN",
"state": "NJ",
"postal_code": "070411917",
"telephone_number": "973-763-3373",
"fax_number": "973-763-5402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MILLBURN AVE",
"city": "MILLBURN",
"state": "NJ",
"postal_code": "070411917",
"telephone_number": "973-763-3373",
"fax_number": "973-763-5402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELDUCA",
"first_name": "CHRISTINE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-05-27",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "20489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millburn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.