Maria Rosario De Leon, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02206200 Issued in NJ

Practice address

204 Bellevue Ave
Suite B
Upper Montclair, NJ 07043-1893

Phone

(973) 783-4400

Fax

(973) 783-4447

NPI assigned

Dec 19, 2007

Last updated

Dec 19, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Rosemarie De Leon Professional name

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": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1639353162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 BELLEVUE AVE",
            "address_2": "SUITE B",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431893",
            "telephone_number": "973-783-4400",
            "fax_number": "973-783-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 BELLEVUE AVE",
            "address_2": "SUITE B",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431893",
            "telephone_number": "973-783-4400",
            "fax_number": "973-783-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "MARIA",
        "middle_name": "ROSARIO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02206200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSEMARIE",
            "last_name": "DE LEON",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mary Margaret Cullen-Drill, RN, APN, C
• Cutillo Counseling & Consultation Services, Inc.
• Elisabeth B Dagress, LCSW
• Justin Dana
• David Ferguson, DDS, PA (Ferguson Dental Associates)
• Karyn Debalfo-Ambrosio, LCSW
• Janice Ellen Delorenzo, LCSW
• Anthony Thomas Delzotto, DMD
• Ernest Joseph Desalvo, M.D.
• Eileen Reilly Diaz, P.T., R.N.

• General Practice Dentistry in Upper Montclair, NJ
• Providers in Upper Montclair, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.

Verify at the official NPI Registry.