Individual provider Active NPI

Vincent Joseph Margiotta, DDS

  • Dentist
  • Red Bank, NJ
National Provider Identifier
1720236201
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI 020261 Issued in NJ
Practice address
29 Brighton Ave
Red Bank, NJ 07701-5766
Phone
(732) 842-8460
Fax
(732) 842-0460
NPI assigned
Sep 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DI 020261 NJ Primary

Addresses

Primary practice location

29 Brighton Ave
Red Bank, NJ 07701-5766

Mailing address

29 Brighton Ave
Red Bank, NJ 07701-5766
Phone (732) 842-8460

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
DI 020261NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1720236201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BRIGHTON AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015766",
            "telephone_number": "732-842-8460",
            "fax_number": "732-842-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BRIGHTON AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015766",
            "telephone_number": "732-842-8460",
            "fax_number": "732-842-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGIOTTA",
        "first_name": "VINCENT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI 020261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.