Nicole Mae McGrath, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

NJDI17834 Issued in NJ

Practice address

10 Broad St
Bloomfield, NJ 07003-2524

Phone

(973) 744-7003

Fax

(973) 744-7008

NPI assigned

May 23, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Kindersmile Community Oral Health Center

  • Health Maintenance Organization
  • Bloomfield, NJ
  • NPI 1497106090
  NPD (past) Authorized official

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1811155138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032524",
            "telephone_number": "973-744-7003",
            "fax_number": "973-744-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032524",
            "telephone_number": "973-744-7003",
            "fax_number": "973-744-7008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Avon Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071082801",
            "country_code": "US",
            "telephone_number": "973-824-0036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086081303",
            "country_code": "US",
            "telephone_number": "973-744-7003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGRATH",
        "first_name": "NICOLE",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-23",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "NJDI17834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6204601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Matturro, DC
• Robert Matturro, D.C.
• June Mayer, RN
• Tostao Pembele Mbemba
• Dianelle McAllister
• James McGuinness, M.D.
• Kristin McHugh, M.S., CCC/SLP
• Tainesha Nicole McKinney, LCSW
• Kathryn McLaughlin, IBCLC
• Carli Rae McMorrow, ATC

• Dentist in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.