Individual provider Active NPI

William F Sorvino

  • Dentist
  • Denville, NJ
National Provider Identifier
1912171117
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19463 Issued in NJ
Practice address
515 E Main St
Denville, NJ 07834-2517
Phone
(973) 586-4444
Fax
(973) 586-4455
NPI assigned
Apr 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19463 NJ Primary

Addresses

Primary practice location

515 E Main St
Denville, NJ 07834-2517

Mailing address

515 E Main St
Denville, NJ 07834-2517
Phone (973) 586-4444

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
I20160518001527 NJ Order and Referring Only - DentistPractitioner - Dentist 7416246236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19463NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1912171117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E MAIN ST",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342517",
            "telephone_number": "973-586-4444",
            "fax_number": "973-586-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E MAIN ST",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342517",
            "telephone_number": "973-586-4444",
            "fax_number": "973-586-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORVINO",
        "first_name": "WILLIAM",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "19463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

Verify at the official NPI Registry.