John Anthony Cordasco, DMD

Primary specialty

DentistTaxonomy code 122300000X

Practice address

170 E Main St
Suite 203
Rockaway, NJ 07866-3530

Phone

(973) 586-4240

Fax

(973) 586-4235

NPI assigned

May 8, 2007

Sex

Male

Sole proprietor

Yes

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 16, 2016 through Feb 16, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750594305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 E MAIN ST",
            "address_2": "SUITE 203",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663530",
            "telephone_number": "973-586-4240",
            "fax_number": "973-586-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 E MAIN ST",
            "address_2": "SUITE 203",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663530",
            "telephone_number": "973-586-4240",
            "fax_number": "973-586-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDASCO",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie K Coleman, LCSW
• Lisset D Coletti Orrego
• Laurel L Colombo
• Compassionate Care Hospice of Northern New Jersey, LLC
• Angela R. Constantino, LCSW
• Jorge O Cordova, D.M.D
• Meryl Catherine Coriell, PHARMD
• Reimond Jose I Costa
• Dario J Cunico, DDS
• Melissa Lynne D'Addario

• Dentist in Rockaway, NJ
• Providers in Rockaway, NJ by specialty
• Dentist 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.