Individual provider Active NPI

James Anthony Testa, DDS

  • General Practice Dentistry
  • Bridgewater, NJ
National Provider Identifier
1710166657
Registry record updated Oct 28, 2007
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01043000 Issued in NJ
Practice address
704 Route 202
Bridgewater, NJ 08807-2727
Phone
(908) 526-6266
NPI assigned
Oct 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2007

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 22DI01043000 NJ Primary

Addresses

Primary practice location

704 Route 202
Bridgewater, NJ 08807-2727

Mailing address

PO Box 540
1 Main Street
Neshanic Station, NJ 08853-0540
Phone (908) 526-6266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150617001872 NJ Order and Referring Only - DentistPractitioner - Dentist 3072824077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI01043000NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1193529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193529600000",
    "number": "1710166657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540",
            "address_2": "1 MAIN STREET",
            "city": "NESHANIC STATION",
            "state": "NJ",
            "postal_code": "088530540",
            "telephone_number": "908-526-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 ROUTE 202",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072727",
            "telephone_number": "908-526-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESTA",
        "first_name": "JAMES",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-28",
        "last_updated": "2007-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01043000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.