Organization Active NPI

Carlos Moglianesi, D.M.D. PC

  • Prosthodontics
  • New Providence, NJ
National Provider Identifier
1629196134
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DI15175 Issued in NJ
Legal business name
CARLOS MOGLIANESI, D.M.D. PC
Practice address
1806 Springfield Ave.
New Providence, NJ 07974
Phone
(908) 665-2300
Fax
(908) 665-9200
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Carlos Jose Moglianesi
Title
Dentist
Phone
(908) 665-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X DI15175 NJ Primary

Addresses

Primary practice location

1806 Springfield Ave.
New Providence, NJ 07974

Mailing address

8 Partridge Run
Warren, NJ 07059
Phone (732) 356-6905

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629196134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PARTRIDGE RUN",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "07059",
            "telephone_number": "732-356-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 SPRINGFIELD AVE.",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "07974",
            "telephone_number": "908-665-2300",
            "fax_number": "908-665-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS MOGLIANESI, D.M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOGLIANESI",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "908-665-2300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "NJ",
            "license": "DI15175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Providence, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.