Michael Colarusso

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02762500 Issued in NJ

Practice address

255 Main St
Ridgefield Park, NJ 07660-1598

Phone

(201) 440-9190

NPI assigned

Apr 3, 2018

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

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

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.

• L&M Dental Group LLC

  dba Village Dental, P.A.

  • General Practice Dentistry
  • Ridgefield Park, NJ
  • NPI 1174358212
  NPD Authorized official
• Village Dental,P.a.

  • General Practice Dentistry
  • Ridgefield Park, NJ
  • NPI 1902928971
  NPD (past)

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1710483185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 MAIN ST",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076601598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 MAIN ST",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076601598",
            "telephone_number": "201-440-9190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Seaview Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103053436",
            "country_code": "US",
            "telephone_number": "718-226-9080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLARUSSO",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02762500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paris Castro
• Monique Charles
• Brittany Nicole Chloros
• Min H Cho, PHARM D
• David Chong
• Consonant Healing Medical Associates of NJ LLC
• Fred Roger Curcio, DMD
• Dadnasium, LLC
• Delaware Home Health Holdings, LLC
• Developmental Disabilities Association NJ Inc.

• Dentist in Ridgefield Park, NJ
• Providers in Ridgefield Park, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.