Fabio G. Apolito, DMD

Individual provider Active NPI Endodontics · Ocean, NJ

NPI 1972601995 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1972601995
Entity type
Individual (NPI type 1)
Primary specialty
Endodontics 1223E0200X
License
DI 020876 (NJ)
Practice address
1398 State Route 35
Ocean, NJ 07712-3543
Phone
(732) 531-9200
Fax
(732) 531-3006
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20151022000039 NJ Order and Referring Only - Other (Physician)
Practitioner - Other (Physician)
2062721657

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
DI 020876NJMDEndodontist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DI 020876 NJ Yes

Addresses

Primary practice location

1398 State Route 35
Ocean, NJ 07712-3543

Mailing address

1398 State Route 35
Ocean, NJ 07712-3543
Phone (732) 531-9200

Other providers in Ocean, NJ

All providers in Ocean, NJ · Endodontics in New Jersey

Sources for this page

Verify at the official NPI Registry.