Talia Elaine Miceli, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02784600 Issued in NJ

Practice address

1828 W Lake Ave
Neptune, NJ 07753-4663

Phone

(732) 869-5734

Fax

(732) 869-5730

NPI assigned

Apr 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1750945770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 RAINTREE CT",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332814",
            "telephone_number": "732-615-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 W LAKE AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534663",
            "telephone_number": "732-869-5734",
            "fax_number": "732-869-5730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 W Park Ave",
            "address_purpose": "LOCATION",
            "city": "Ocean",
            "state": "NJ",
            "postal_code": "077127272",
            "country_code": "US",
            "telephone_number": "732-749-9036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 Shrewsbury Ave",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "NJ",
            "postal_code": "077024178",
            "country_code": "US",
            "telephone_number": "732-747-9333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICELI",
        "first_name": "TALIA",
        "middle_name": "ELAINE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2020-08-25",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02784600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Neptune, NJ
• Providers in Neptune, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.