Alfred James Desimone, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01993400 Issued in NJ

Practice address

733 Route 72 East
Manahawkin, NJ 08050

Phone

(609) 489-0030

Fax

(609) 489-0031

NPI assigned

Mar 2, 2007

Last updated

Jun 16, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eastern Dental of Manahawkin, LLC

  • General Practice Dentistry
  • Manahawkin, NJ
  • NPI 1306135074
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1700915139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 ROUTE 72 EAST",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "08050",
            "telephone_number": "609-489-0030",
            "fax_number": "609-489-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 ROUTE 72 EAST",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "08050",
            "telephone_number": "609-489-0030",
            "fax_number": "609-489-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESIMONE",
        "first_name": "ALFRED",
        "middle_name": "JAMES",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01993400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0172197",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arthur J Demarsico, D.O.
• Dental Specialists of Manahawkin
• Dependable Elder Transport LLC
• Rosemarie Desantis, M.D.
• Jennifer Desanto, MA, CCC-SLP
• Molly Lorraine Devaney, CF-SLP
• Frederic Dewil, MD
• Dialysis Services of NJ Inc-Manahawkin (U S Renal Care Manahawkin Dialysis)
• Laurie Jansson Didyk, MSN APN
• Andrea Difiore, CRNA

• General Practice Dentistry in Manahawkin, NJ
• Providers in Manahawkin, 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 Jun 16, 2015; 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.