Organization Active NPI

Venditto Dental Assoc

  • Dentist
  • Lakewood, NJ
National Provider Identifier
1720157530
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
VENDITTO DENTAL ASSOC
Practice address
475 RT 70 West Ste 102
Lakewood, NJ 08701
Phone
(732) 905-7706
Fax
(732) 905-4171
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Rauree A Venditto
Title
Office Man Sec Treas
Phone
(732) 905-7706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

475 RT 70 West Ste 102
Lakewood, NJ 08701

Mailing address

475 RT 70 West Ste 102
Lakewood, NJ 08701
Phone (732) 905-7706

National Provider Directory

National Provider Directory

Locations

475 Route 70
Ste 102
Lakewood, NJ 08701
Phone (732) 905-7706

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720157530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 RT 70 WEST STE 102",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-905-7706",
            "fax_number": "732-905-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 RT 70 WEST STE 102",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-905-7706",
            "fax_number": "732-905-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENDITTO DENTAL ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VENDITTO",
        "authorized_official_first_name": "RAUREE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MAN SEC TREAS",
        "authorized_official_telephone_number": "732-905-7706",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.