Individual provider Active NPI

Mario C Fiorentini, DMD

  • Dentist
  • Highland Park, NJ
National Provider Identifier
1881093474
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02575300 Issued in NJ
Practice address
85 Woodbridge Ave
Highland Park, NJ 08904-3207
Phone
(732) 545-1023
NPI assigned
Aug 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02575300 NJ Primary

Addresses

Primary practice location

85 Woodbridge Ave
Highland Park, NJ 08904-3207

Mailing address

85 Woodbridge Ave
Highland Park, NJ 08904-3207
Phone (732) 545-1023

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
I20150625000618 NJ Order and Referring Only - DentistPractitioner - Dentist 8628389129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mario S Fiorentini DMD PA Dentist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1881093474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 WOODBRIDGE AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089043207",
            "telephone_number": "732-545-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 WOODBRIDGE AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089043207",
            "telephone_number": "732-545-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORENTINI",
        "first_name": "MARIO",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02575300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, NJ

Sources for this page

Verify at the official NPI Registry.