Active NPI
Anthony Charles Terrana, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- New Providence, NJ
National Provider Identifier
1659808012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 22DI02640900
- Practice address
- 65 South St FL 2
New Providence, NJ 07974-1940 - Phone
- (862) 684-1986
- NPI assigned
- May 17, 2017
- Last updated
- Jul 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02640900 | NJ | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 22DI02640900 | NJ | Primary |
Addresses
Primary practice location
65 South St FL 2
New Providence, NJ 07974-1940
Mailing address
40 Highland Ave
Whippany, NJ 07981-1326
Phone (862) 684-1986
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 |
|---|---|---|---|
| 22DI02640900 | NJ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Providence Orthodontics LLC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Locations
65 South St
Fl 2
New Providence, NJ 07974
Phone (862) 684-1986
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Terrana Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- New Providence, NJ
- NPI 1780208322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1659808012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 HIGHLAND AVE",
"city": "WHIPPANY",
"state": "NJ",
"postal_code": "079811326",
"telephone_number": "862-684-1986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 SOUTH ST FL 2",
"city": "NEW PROVIDENCE",
"state": "NJ",
"postal_code": "079741940",
"telephone_number": "862-684-1986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRANA",
"first_name": "ANTHONY",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-17",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02640900",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NJ",
"license": "22DI02640900",
"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 Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.