Organization Active NPI

Personal Choice Dental Associates

  • Dentist
  • Old Bridge, NJ
National Provider Identifier
1851592992
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PERSONAL CHOICE DENTAL ASSOCIATES
Practice address
400 Perrine Rd
Suite 400a
Old Bridge, NJ 08857-2843
Phone
(732) 727-1222
Fax
(732) 727-0880
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Anthony Joseph Vitale, DMDNPI 1801976980
Title
Dentist
Phone
(732) 727-1211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X NJ Primary

Addresses

Primary practice location

400 Perrine Rd
Suite 400a
Old Bridge, NJ 08857-2843

Mailing address

400 Perrine Rd
Suite 400a
Old Bridge, NJ 08857-2843
Phone (732) 727-1222

National Provider Directory

National Provider Directory

Locations

400 Perrine Rd
Ste 400A
Old Bridge, NJ 08857
Phone (732) 508-2294

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851592992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PERRINE RD",
            "address_2": "SUITE 400A",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572843",
            "telephone_number": "732-727-1222",
            "fax_number": "732-727-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PERRINE RD",
            "address_2": "SUITE 400A",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572843",
            "telephone_number": "732-727-1222",
            "fax_number": "732-727-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL CHOICE DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VITALE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "732-727-1211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.