Individual provider Active NPI

Leonard R. Ciuffreda, DDS

  • General Practice Dentistry
  • Manalapan, NJ
National Provider Identifier
1629184627
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01946400 Issued in NJ
Practice address
215 Gordons Corner Rd
2E
Manalapan, NJ 07726-3351
Phone
(732) 792-0605
Fax
(732) 792-1220
NPI assigned
Aug 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 22DI01946400 NJ Primary

Addresses

Primary practice location

215 Gordons Corner Rd
2E
Manalapan, NJ 07726-3351

Mailing address

215 Gordons Corner Rd
2E
Manalapan, NJ 07726-3351
Phone (732) 792-0605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 16, 2018 through Nov 16, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Leonard Ciuffreda, Jr., DDS, PA General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629184627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 GORDONS CORNER RD",
            "address_2": "2E",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263351",
            "telephone_number": "732-792-0605",
            "fax_number": "732-792-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 GORDONS CORNER RD",
            "address_2": "2E",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263351",
            "telephone_number": "732-792-0605",
            "fax_number": "732-792-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIUFFREDA",
        "first_name": "LEONARD",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01946400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.