Organization Active NPI

August Pellegrini DDS PA

  • General Practice Dentistry
  • Bayonne, NJ
National Provider Identifier
1760697270
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI15641 Issued in NJ
Legal business name
AUGUST PELLEGRINI DDS PA
Practice address
942 Avenue C
Bayonne, NJ 07002-3026
Phone
(201) 339-1742
Fax
(201) 339-7822
NPI assigned
May 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. August Pellegrini Jr., D.D.S.NPI 1134213846
Title
Direct Owner
Phone
(201) 339-1742

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI15641 NJ Primary

Addresses

Primary practice location

942 Avenue C
Bayonne, NJ 07002-3026

Mailing address

942 Ave C
Bayonne, NJ 07002
Phone (201) 339-1742

Other identifiers 1

IdentifierTypeStateIssuer
1134213846OtherNJINDIVIDUAL NPI #

National Provider Directory

National Provider Directory

Locations

942 Avenue C
Bayonne, NJ 07002
Phone (201) 339-1742

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760697270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 AVE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "07002",
            "telephone_number": "201-339-1742",
            "fax_number": "201-339-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023026",
            "telephone_number": "201-339-1742",
            "fax_number": "201-339-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUST PELLEGRINI DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PELLEGRINI",
        "authorized_official_first_name": "AUGUST",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "201-339-1742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI15641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1134213846",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.