Active NPI
Joseph A Loboda III, DMD
- General Practice Dentistry
- Dover, NJ
National Provider Identifier
1740417096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 220102399800
- Practice address
- 66 E McFarlan St Ste 3
Dover, NJ 07801-3533 - Phone
- (973) 361-6200
- NPI assigned
- Jun 14, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 220102399800 | NJ | Primary |
Addresses
Primary practice location
66 E McFarlan St Ste 3
Dover, NJ 07801-3533
Mailing address
438 Bloomfield Ave FL 2
Montclair, NJ 07042-3504
Phone (973) 420-9455
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
| License | State | Type | Specialty |
|---|---|---|---|
| 220102399800 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244937600000",
"number": "1740417096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "438 BLOOMFIELD AVE FL 2",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070423504",
"telephone_number": "973-420-9455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 E MCFARLAN ST STE 3",
"city": "DOVER",
"state": "NJ",
"postal_code": "078013533",
"telephone_number": "973-361-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOBODA",
"first_name": "JOSEPH",
"middle_name": "A",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-14",
"last_updated": "2009-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "220102399800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.