Steven a Menillo, DDS & Associates, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

14867 Issued in NJ

Legal business name

STEVEN A MENILLO, DDS & ASSOCIATES, LLC

Practice address

315 Rochelle Ave
Rochelle Park, NJ 07662-3916

Phone

(201) 843-1015

Fax

(201) 843-1036

NPI assigned

Apr 17, 2018

Organization subpart

No

Name

Dr. Steven A Menillo, DDSNPI 1629195680

Title

Owner

Phone

(201) 843-1015

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Menillo, DDS

  • General Practice Dentistry
  • Rochelle Park, NJ
  • NPI 1629195680
  NPD (past) Authorized official
• Daniella Renee Menillo

  • Podiatrist
  • New Haven, CT
  • NPI 1144751926
  NPD (past)

Locations

• Steven A Menillo, DDS Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 24, 2018.

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1750878583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 ROCHELLE AVE",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623916",
            "telephone_number": "201-843-1015",
            "fax_number": "201-843-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 ROCHELLE AVE",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623916",
            "telephone_number": "201-843-1015",
            "fax_number": "201-843-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN A MENILLO, DDS & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "MENILLO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-843-1015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "14867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steven A Menillo, DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vera M Solovieva, MD
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• Diane Stoller, R.N.
• Alena Strobel, MSW, LSW
• Charles A Swinkin, DPT
• Kaylee Tanis, RBT
• The Cataract Vision Institute LLC

• All providers in Rochelle Park, NJ
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.