Aryam Modesto, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DI24929 Issued in NJ

Practice address

266 Harristown Rd
Suite 102
Glen Rock, NJ 07452-3302

Phone

(201) 652-0400

NPI assigned

Jan 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sicklerville Smiles

  • Dental Clinic/Center
  • Sicklerville, NJ
  • NPI 1265110969
  NPD Authorized official
• Excel Dentistry, P.C.

  • General Practice Dentistry
  • Glen Rock, NJ
  • NPI 1982766853
  NPD (past)
• Rejuvenate Dental Sleep Medicine

  • General Practice Dentistry
  • Glen Rock, NJ
  • NPI 1851738736
  NPD (past)

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1891066486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 HARRISTOWN RD",
            "address_2": "SUITE 102",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523302",
            "telephone_number": "201-652-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 HARRISTOWN RD",
            "address_2": "SUITE 102",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523302",
            "telephone_number": "201-652-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODESTO",
        "first_name": "ARYAM",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI24929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Michaud, DDS
• Lisa Miraglia-Ranoff, RPH
• David A Mitnick, M.D.
• MMB Transportation Services, LLC
• Mayra Modesto-Garrido, D.D.S.
• Monarch Anesthesia of Jersey City, LLC
• More Eyecare II, LLC
• Michele Anne Morelli-Weiss, OTR/L
• Kelly D Morris, LMFT
• Joan Moscarello

• Dentist in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.