Philip Vincent Chiavetta, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

22D100881500 Issued in NJ

Practice address

717 Cedar LN
Teaneck, NJ 07666-1702

Phone

(201) 836-5726

NPI assigned

Mar 31, 2008

Last updated

Mar 31, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1639341530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 CEDAR LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661702",
            "telephone_number": "201-836-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 CEDAR LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661702",
            "telephone_number": "201-836-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIAVETTA",
        "first_name": "PHILIP",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D100881500",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D100881500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farrukh Chaudhry, DC, CNIM
• Lisanne Cheifetz
• Padmini Chelliah, M.D.
• Emily Chelnitsky
• Dennis J Cheteyan, ED.D., LCSW
• Rosalyn Merita Childs, ASSISTANT PRINCIPAL
• Mikyong Cho, RD
• Seokkoon Cho, M.D.
• Cielines Choez
• Zunaira Hafeez Choudhary, M.D.

• Dentist in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.

Verify at the official NPI Registry.