Henry Nardea, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DI014621 Issued in NJ

Practice address

121 Highway 36
#100
West Long Branch, NJ 07764-1459

Phone

(732) 222-8516

Fax

(732) 222-1149

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Immediate Dental PC

  • Dentist
  • West Long Branch, NJ
  • NPI 1942317953
  NPD (past) Authorized official
• Sparq Family Dental LLC

  • Dental Clinic/Center
  • West Long Branch, NJ
  • NPI 1417573353
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1811017643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ALVORD ST",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077551152",
            "telephone_number": "732-859-3353",
            "fax_number": "732-222-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 HIGHWAY 36",
            "address_2": "#100",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641459",
            "telephone_number": "732-222-8516",
            "fax_number": "732-222-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARDEA",
        "first_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI014621",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411236",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.023649",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morris Laitman P a
• Morris Laitman,P.a.
• Caitlin Jo Murphy
• Robert Dennis Murphy, M.D.
• Megan Napp, LSW
• Mark A. Nasr, D.D.S.
• Cheryl A Nastasio, MSW, LCSW
• John F Natale, LCADC
• National Vision Inc
• Nettis Family Chiropractic, L.L.C.

• Dentist in West Long Branch, NJ
• Providers in West Long Branch, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.