Individual provider Active NPI

Cheryl Ann Vicari-Indeck, D.M.D

  • General Practice Dentistry
  • Mountain Lakes, NJ
National Provider Identifier
1699761601
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI16666 Issued in NJ
Practice address
43 Bloomfield Ave
Mountain Lakes, NJ 07046-1429
Phone
(973) 263-1919
Fax
(973) 335-2132
NPI assigned
Sep 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 DI16666 NJ Primary

Addresses

Primary practice location

43 Bloomfield Ave
Mountain Lakes, NJ 07046-1429

Mailing address

43 Bloomfield Ave
Mountain Lakes, NJ 07046-1429
Phone (973) 263-1919

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
DI16666NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1127606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699761601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 BLOOMFIELD AVE",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461429",
            "telephone_number": "973-263-1919",
            "fax_number": "973-335-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 BLOOMFIELD AVE",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461429",
            "telephone_number": "973-263-1919",
            "fax_number": "973-335-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICARI-INDECK",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI16666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.