Active NPI
Joseph F Coccellato, DDS
- Dentist
- East Brunswick, NJ
National Provider Identifier
1639248958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D114701
- Practice address
- 330 Milltown Road
East Brunswick, NJ 08816 - Phone
- (732) 238-7776
- Fax
- (732) 238-7555
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | D114701 | NJ | Primary |
Addresses
Primary practice location
330 Milltown Road
East Brunswick, NJ 08816
Mailing address
330 Milltown Road
East Brunswick, NJ 08816
Phone (732) 238-7776
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 |
|---|---|---|---|
| D114701 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639248958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 MILLTOWN ROAD",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "08816",
"telephone_number": "732-238-7776",
"fax_number": "732-238-7555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 MILLTOWN ROAD",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "08816",
"telephone_number": "732-238-7776",
"fax_number": "732-238-7555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCCELLATO",
"first_name": "JOSEPH",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "D114701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Brunswick, NJ
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.