Robert A. Leonetti, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01330800 Issued in NJ

Practice address

7 Harker Ave
Suite One
Berlin, NJ 08009-2331

Phone

(856) 767-7077

Fax

(856) 767-8070

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Practice roles

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.

• Berlin Dental Arts, LLC

  • Dentist
  • Berlin, NJ
  • NPI 1417491135
  NPD (past)
• Berlin Dental Associates

  • Dentist
  • Berlin, NJ
  • NPI 1033526645
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912939356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HARKER AVE",
            "address_2": "SUITE ONE",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080092331",
            "telephone_number": "856-767-7077",
            "fax_number": "856-767-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HARKER AVE",
            "address_2": "SUITE ONE",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080092331",
            "telephone_number": "856-767-7077",
            "fax_number": "856-767-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONETTI",
        "first_name": "ROBERT",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01330800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Legacy Treatment Serivces, Inc.
• Legacy Treatment Serivces, Inc.
• Legacy Treatment Services
• Legacy Treatment Services Inc
• Joyce Diane Leonetti, D.O., M.P.H.
• Lerene Health, LLC
• Liberty Dialysis-Berlin LLC
• Liberty Wellness (Addiction Recovery Consultants)
• Russell Little, APN
• Llenroc Services, Inc (Griswold Home Care)

• General Practice Dentistry in Berlin, NJ
• Providers in Berlin, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.