Organization Active NPI

Paterno Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mount Laurel, NJ
National Provider Identifier
1659592921
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
22DI01753000 Issued in NJ
Legal business name
PATERNO ORTHODONTICS LLC
Practice address
501 Mt Laurel Rd
Mt Laurel, NJ 08054
Phone
(856) 722-5664
Fax
(856) 722-5198
NPI assigned
May 2, 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. Michele Paterno, DMD MSDNPI 1053241000
Title
LLC Principal Owner
Phone
(856) 722-5664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 22DI01753000 NJ Primary

Addresses

Primary practice location

501 Mt Laurel Rd
Mt Laurel, NJ 08054

Mailing address

501 Mt Laurel Rd
Mt Laurel, NJ 08054
Phone (856) 722-5664

Other names 1

  • Michele Paterno DMD MSD Former legal business name

National Provider Directory

National Provider Directory

Locations

501 Mount Laurel Rd
Mount Laurel, NJ 08054
Phone (856) 722-5664

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659592921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MT LAUREL RD",
            "city": "MT LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-722-5664",
            "fax_number": "856-722-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MT LAUREL RD",
            "city": "MT LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-722-5664",
            "fax_number": "856-722-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATERNO ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATERNO",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "LLC PRINCIPAL OWNER",
        "authorized_official_telephone_number": "856-722-5664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI01753000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michele Paterno DMD MSD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mount Laurel, 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.