Individual provider Active NPI

Nicholas Depinto, DMD

  • Dentist
  • Galloway, NJ
National Provider Identifier
1841483526
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02352300 Issued in NJ
Practice address
4 E Jimmie Leeds Rd
Suite 6
Galloway, NJ 08205-4465
Phone
(201) 370-0097
NPI assigned
Aug 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02352300 NJ Primary

Addresses

Primary practice location

4 E Jimmie Leeds Rd
Suite 6
Galloway, NJ 08205-4465

Mailing address

4 E Jimmie Leeds Rd
Suite 6
Galloway, NJ 08205-4465
Phone (201) 370-0097

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150612001457 NJ Order and Referring Only - DentistPractitioner - Dentist 4587975826

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02352300NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health -University Dental Associates Current Accepting new patients
Rutgers Health Dental Associates Os-NWK PastSince Apr 1, 2022 Accepting new patients

Locations

90 Bergen St
Ste 7700
Newark, NJ 07103
Phone (973) 972-2444

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187913600000",
    "number": "1841483526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 E JIMMIE LEEDS RD",
            "address_2": "SUITE 6",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054465",
            "telephone_number": "201-370-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E JIMMIE LEEDS RD",
            "address_2": "SUITE 6",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054465",
            "telephone_number": "201-370-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPINTO",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02352300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

Verify at the official NPI Registry.