Active NPI
Michael Depaolo, DMD, LLC
- General Practice Dentistry
- Red Bank, NJ
National Provider Identifier
1801772009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MICHAEL DEPAOLO, DMD, LLC
- Practice address
- 191 Broad St
Red Bank, NJ 07701-2048 - Phone
- (908) 868-2619
- NPI assigned
- Aug 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Depaolo, DMD
- Title
- Owner
- Phone
- (908) 868-2619
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
191 Broad St
Red Bank, NJ 07701-2048
Mailing address
55 Jonesdale Ave
Metuchen, NJ 08840-2028
Phone (908) 868-2619
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755043200000",
"number": "1801772009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 JONESDALE AVE",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088402028",
"telephone_number": "908-868-2619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 BROAD ST",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077012048",
"telephone_number": "908-868-2619"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL DEPAOLO, DMD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-13",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A",
"authorized_official_last_name": "DEPAOLO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-868-2619",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Red Bank, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.