Individual provider Active NPI

Flavius Iustianin Tomeci, DMD

  • General Practice Dentistry
  • Perth Amboy, NJ
National Provider Identifier
1669159497
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02931700 Issued in NJ
Practice address
252 Madison Ave Ste 106
Perth Amboy, NJ 08861-4314
Phone
(732) 997-6453
NPI assigned
Jul 3, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02931700 NJ Primary

Addresses

Primary practice location

252 Madison Ave Ste 106
Perth Amboy, NJ 08861-4314

Mailing address

6025 JFK Boulevard E
Apartment 608
West New York, NJ 07093
Phone (616) 293-5147

Other practice location 1

15 Howe Avenue, Suite 2B
Passaic, NJ 07055
Phone (973) 365-1931

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

LicenseStateTypeSpecialty
22DI02931700NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1669159497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 JFK BOULEVARD E",
            "address_2": "APARTMENT 608",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "07093",
            "telephone_number": "616-293-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 MADISON AVE STE 106",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614314",
            "telephone_number": "732-997-6453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Howe Avenue, Suite 2B",
            "address_purpose": "LOCATION",
            "city": "Passaic",
            "state": "NJ",
            "postal_code": "07055",
            "country_code": "US",
            "telephone_number": "973-365-1931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMECI",
        "first_name": "FLAVIUS",
        "middle_name": "IUSTIANIN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02931700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.