Marigold Pediatric Dentistry and Orthodontics

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MARIGOLD PEDIATRIC DENTISTRY AND ORTHODONTICS

Practice address

1713 Springfield Ave
Maplewood, NJ 07040-2914

Phone

(973) 821-7161

NPI assigned

May 5, 2020

Last updated

Jan 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elena Ciciolla, DMDNPI 1699158691

Title

Owner

Phone

(954) 691-7906

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elena Ciciolla, D.M.D

  • Pediatric Dentistry
  • Brooklyn, NY
  • NPI 1699158691
  NPD Authorized official
• Nicolas Freda, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Old Tappan, NJ
  • NPI 1639622483
  NPD

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1871114512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 OLD TAPPAN RD STE 1A",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757052",
            "telephone_number": "973-821-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 SPRINGFIELD AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402914",
            "telephone_number": "973-821-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIGOLD PEDIATRIC DENTISTRY AND ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "CICIOLLA",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-691-7906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maplewood Village Pharmacy LLC
• Maplewood Vision Care, LLC
• Maplewood Wellness Center
• Marcus L Ward Home, Inc. (Winchester Gardens)
• Marcus L. Ward Home (Winchester Gardens)
• Janine Marley, RNC, IBCLC
• Yvette Marshall, LPC
• Martin a. Silverman, M.D., P.a.
• Marven Wallen & S. Kenneth Jacobson, MD PA
• Massage Supreme Therapeutic and Wellness Spa

• Pediatric Dentistry in Maplewood, NJ
• Providers in Maplewood, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.

Verify at the official NPI Registry.