John Joseph Mikotowicz, D.D.S., M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

22DI02275601 Issued in NJ

Practice address

2605 State Highway 35
Manasquan, NJ 08736

Phone

(732) 223-6000

Fax

(732) 223-6129

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 9, 2016 through Feb 9, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Monmouth Ocean Dentistry

  • Periodontics
  • Manasquan, NJ
  • NPI 1982558029
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750442000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 WOODTHRUSH TRL W",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559128",
            "telephone_number": "609-953-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 STATE HIGHWAY 35",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "08736",
            "telephone_number": "732-223-6000",
            "fax_number": "732-223-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKOTOWICZ",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI02275601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Mary Merkler, DMD
• Fran Miceli
• Michael W. Nagy, MD LLC
• Michelle P. Marfori, O.D., LLC
• Cynthia Anne Migliorisi, P.A.-C
• Jamie Milchanowski, D.C.
• Mindful Progressions LLC
• Kristen Molloy, LAC
• Monmouth Integrative Counseling Services, LLC
• Monmouth Ocean Dentistry

• Periodontics in Manasquan, NJ
• Providers in Manasquan, NJ by specialty
• Periodontics in New Jersey

• 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.