Active NPI
Robert Michael Tartaglione, DDS
- Dentist
- Woodbury Heights, NJ
National Provider Identifier
1740374503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DI15142
- Practice address
- 992 Mantua Pike
Suite 101
Woodbury Heights, NJ 08097 - Phone
- (856) 845-7676
- Fax
- (856) 845-7702
- NPI assigned
- Oct 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DI15142 | NJ | Primary |
Addresses
Primary practice location
992 Mantua Pike
Suite 101
Woodbury Heights, NJ 08097
Mailing address
992 Mantua Pike
Suite 101
Woodbury Heights, NJ 08097
Phone (856) 845-7676
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160210001445 | NJ | Order and Referring Only - Dentist | 6901100080 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI15142 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740374503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "992 MANTUA PIKE",
"address_2": "SUITE 101",
"city": "WOODBURY HEIGHTS",
"state": "NJ",
"postal_code": "08097",
"telephone_number": "856-845-7676",
"fax_number": "856-845-7702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "992 MANTUA PIKE",
"address_2": "SUITE 101",
"city": "WOODBURY HEIGHTS",
"state": "NJ",
"postal_code": "08097",
"telephone_number": "856-845-7676",
"fax_number": "856-845-7702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARTAGLIONE",
"first_name": "ROBERT",
"middle_name": "MICHAEL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "DI15142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbury Heights, NJ
- Amy L Steinhauer, DO
- Rebecca Stpierre
- Superior Physical Therapy of Woodbury Inc
- Stanley Szumski, PA-C
- Tara M. Tomasso, M.D., L.L.C.
- Nicholas James Tedeschi, DDS
- The Wounded Healer, Inc. D/B/a My Friends House Family Counseling Serv (My Friends House Family Counseling Services)
- The Wounded Healer, Inc. D/B/a My Friends House Family Counseling Serv
- The Wounded Healer, Inc. D/B/a My Friends House Family Counseling Serv (My Friends House Family Counseling Service)
- Tara M Tomasso, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.