Active NPI
Marcus Santo, DMD
- Dentist
- Red Bank, NJ
National Provider Identifier
1841868601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02890000
- Practice address
- 210 W Front St Ste 202
Red Bank, NJ 07701-1171 - Phone
- (732) 530-1003
- NPI assigned
- Jun 16, 2021
- Last updated
- Aug 12, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02890000 | NJ | Primary |
Addresses
Primary practice location
210 W Front St Ste 202
Red Bank, NJ 07701-1171
Mailing address
25 Meadow Ave Unit 79
Monmouth Beach, NJ 07750-1036
Phone (732) 546-2816
Other practice location 1
28 Union Ave
Manasquan, NJ 08736-3647
Phone (732) 775-1492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02890000 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Refined Dental PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1841868601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 MEADOW AVE UNIT 79",
"city": "MONMOUTH BEACH",
"state": "NJ",
"postal_code": "077501036",
"telephone_number": "732-546-2816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W FRONT ST STE 202",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077011171",
"telephone_number": "732-530-1003"
}
],
"practiceLocations": [
{
"address_1": "28 Union Ave",
"address_purpose": "LOCATION",
"city": "Manasquan",
"state": "NJ",
"postal_code": "087363647",
"country_code": "US",
"telephone_number": "732-775-1492",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTO",
"first_name": "MARCUS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-16",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02890000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Red Bank, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.