Organization Active NPI

Holly Beach Dental Associates

  • Dentist
  • Wildwood, NJ
National Provider Identifier
1801912647
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HOLLY BEACH DENTAL ASSOCIATES
Practice address
4301 New Jersey Ave
Wildwood, NJ 08260-1824
Phone
(609) 522-1471
Fax
(609) 522-5473
NPI assigned
Mar 22, 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. Frank Fuscaldo, DDSNPI 1578783569
Title
Secretary
Phone
(609) 522-1471

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X NJ Primary

Addresses

Primary practice location

4301 New Jersey Ave
Wildwood, NJ 08260-1824

Mailing address

4301 New Jersey Ave
PO Box 1326
Wildwood, NJ 08260-1824
Phone (609) 522-1471

Other names 1

  • Cary E Stone PA Other name

National Provider Directory

National Provider Directory

Locations

4301 New Jersey Ave
Wildwood, NJ 08260
Phone (609) 522-1471

Practitioners & affiliated clinicians

Practitioners 2

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": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801912647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 NEW JERSEY AVE",
            "address_2": "PO BOX 1326",
            "city": "WILDWOOD",
            "state": "NJ",
            "postal_code": "082601824",
            "telephone_number": "609-522-1471",
            "fax_number": "609-522-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 NEW JERSEY AVE",
            "city": "WILDWOOD",
            "state": "NJ",
            "postal_code": "082601824",
            "telephone_number": "609-522-1471",
            "fax_number": "609-522-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY BEACH DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FUSCALDO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "609-522-1471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cary E Stone PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wildwood, 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.