Individual provider Active NPI

Erica Tsao

  • General Practice Dentistry
  • Hazlet, NJ
National Provider Identifier
1730829110
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02959700 Issued in NJ
Practice address
1 Bethany Rd Ste 77
Hazlet, NJ 07730-1668
Phone
(732) 739-0088
NPI assigned
Mar 31, 2022
Last updated
Nov 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 063329 NY
General Practice Dentistry 1223G0001X 22DI02959700 NJ Primary

Addresses

Primary practice location

1 Bethany Rd Ste 77
Hazlet, NJ 07730-1668

Mailing address

6 Greco Rd
Holmdel, NJ 07733-2270
Phone (732) 675-8938

Other practice location 1

9033 Elmhurst Ave Fl 3
Jackson Heights, NY 11372-7935
Phone (718) 505-6200

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
22DI02959700NJMDGeneral Practice Dentistry
063329NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Smile by Design Dental Associates, PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1730829110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GRECO RD",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332270",
            "telephone_number": "732-675-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD STE 77",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301668",
            "telephone_number": "732-739-0088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9033 Elmhurst Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113727935",
            "country_code": "US",
            "telephone_number": "718-505-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSAO",
        "first_name": "ERICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "063329",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02959700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.