Individual provider Active NPI

Vince F Dalessio, DMD

  • Dentist
  • Passaic, NJ
National Provider Identifier
1982694758
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI016958 Issued in NJ
Practice address
503 Paulison Ave
Dental Plaza PA
Passaic, NJ 07055-3163
Phone
(973) 471-4500
Fax
(973) 471-8575
NPI assigned
Oct 24, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
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
Dentist 122300000X DI016958 NJ Primary

Addresses

Primary practice location

503 Paulison Ave
Dental Plaza PA
Passaic, NJ 07055-3163

Mailing address

239 Rifle Camp Rd
West Paterson, NJ 07424-3363
Phone (973) 477-7124

Other identifiers 1

IdentifierTypeStateIssuer
1667807MedicaidNJ

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DI016958NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Plaza PA Dentist Past Accepting new patients

Organizations & group practices 1

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1982694758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 RIFLE CAMP RD",
            "city": "WEST PATERSON",
            "state": "NJ",
            "postal_code": "074243363",
            "telephone_number": "973-477-7124",
            "fax_number": "973-471-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 PAULISON AVE",
            "address_2": "DENTAL PLAZA PA",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553163",
            "telephone_number": "973-471-4500",
            "fax_number": "973-471-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALESSIO",
        "first_name": "VINCE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI016958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1667807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.