Individual provider Active NPI

Sally-Jo Placa, DMD, MPA

  • General Practice Dentistry
  • Avenel, NJ
National Provider Identifier
1932165578
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI17088 Issued in NJ
Practice address
432 Avenel St
Avenel, NJ 07001-1150
Phone
(732) 634-4797
Fax
(732) 634-6109
NPI assigned
Apr 22, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI17088 NJ Primary

Addresses

Primary practice location

432 Avenel St
Avenel, NJ 07001-1150

Mailing address

432 Avenel St
Avenel, NJ 07001-1150
Phone (732) 634-4797

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
I20141224000271 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4587987581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI17088NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Shore Psychiatric Services LLC Past Accepting new patients
Xcellcare Medical Practice LLC PastSince Feb 23, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1932165578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 AVENEL ST",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011150",
            "telephone_number": "732-634-4797",
            "fax_number": "732-634-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 AVENEL ST",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011150",
            "telephone_number": "732-634-4797",
            "fax_number": "732-634-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLACA",
        "first_name": "SALLY-JO",
        "name_prefix": "Dr.",
        "credential": "DMD, MPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI17088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avenel, NJ

Sources for this page

Verify at the official NPI Registry.