Steven James Cennamo, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI012965 Issued in NJ

Practice address

422 Fairview Ave
Colonia, NJ 07067-3717

Phone

(732) 381-7171

Fax

(732) 499-7958

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Colonia Dental Group

  • General Practice Dentistry
  • Colonia, NJ
  • NPI 1912011230
  NPD (past) Authorized official
• Colonia Dental Associates LLC

  • General Practice Dentistry
  • Colonia, NJ
  • NPI 1013487966
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841304136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 FAIRVIEW AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070673717",
            "telephone_number": "732-381-7171",
            "fax_number": "732-499-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 FAIRVIEW AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070673717",
            "telephone_number": "732-381-7171",
            "fax_number": "732-499-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENNAMO",
        "first_name": "STEVEN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI012965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Matthew Berman, PHARMD, RPH
• Bernilk Well Care
• Bio-Medical Applications of New Jersey, Inc.
• Denise Brigande, RPA-C
• Jesus Alfonso Canete Catahay, MD
• Parth Champaneri
• Neelam Charaipotra, MD
• Jigisha Shankarbhai Chaudhary, M.B.B.S
• Chetankumar Keshavbhai Chauhan, MD
• Lolita L Chew

• General Practice Dentistry in Colonia, NJ
• Providers in Colonia, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.