Anthony Fasciano, DMD, LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

NJ17458 Issued in NJ

Legal business name

ANTHONY FASCIANO, DMD, LLC

Practice address

617 E Palisade Ave
Englewood Cliffs, NJ 07632-1831

Phone

(201) 894-0350

Fax

(201) 541-6728

NPI assigned

Nov 21, 2006

Last updated

Mar 1, 2012By 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. Anthony Fasciano, DMDNPI 1225267446

Title

Owner

Phone

(201) 894-0350

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Anthony Fasciano, D.M.D.

  • Endodontics
  • Englewood Cliffs, NJ
  • NPI 1225267446
  Authorized official Same address or phone

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1912072471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 E PALISADE AVE",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076321831",
            "telephone_number": "201-894-0350",
            "fax_number": "201-541-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 E PALISADE AVE",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076321831",
            "telephone_number": "201-894-0350",
            "fax_number": "201-541-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY FASCIANO, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "FASCIANO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-894-0350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "NJ17458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endodontics in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• Endodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.