Individual provider Active NPI

Charles Francis Sgroi, DMD

  • General Practice Dentistry
  • Lebanon, NJ
National Provider Identifier
1942393681
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22D101085800 Issued in NJ
Practice address
1 Chalotte Drive
Lebanon, NJ 08833-4014
Phone
(908) 236-2728
Fax
(908) 236-2507
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 22D101085800 NJ Primary

Addresses

Primary practice location

1 Chalotte Drive
Lebanon, NJ 08833-4014

Mailing address

1 Chalotte Drive
Lebanon, NJ 08833-4014
Phone (908) 236-2728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22D101085800NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942393681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHALOTTE DRIVE",
            "city": "LEBANON",
            "state": "NJ",
            "postal_code": "088334014",
            "telephone_number": "908-236-2728",
            "fax_number": "908-236-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHALOTTE DRIVE",
            "city": "LEBANON",
            "state": "NJ",
            "postal_code": "088334014",
            "telephone_number": "908-236-2728",
            "fax_number": "908-236-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SGROI",
        "first_name": "CHARLES",
        "middle_name": "FRANCIS",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D101085800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NJ

Sources for this page

  • 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.