Active NPI
Steven Anthony Dirienzo, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Bayonne, NJ
National Provider Identifier
1992791966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DI021870
- Practice address
- 925 Broadway
Bayonne, NJ 07002-3088 - Phone
- (201) 858-1400
- NPI assigned
- Sep 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DI021870 | NJ | Primary |
Addresses
Primary practice location
925 Broadway
Bayonne, NJ 07002-3088
Mailing address
925 Broadway
Bayonne, NJ 07002-3088
Phone (201) 858-1400
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151015001245 | NJ | Order and Referring Only - Oral Surgery | 2163731068 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI021870 | NJ | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaetano G Spinnato DMD MD LLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Broadway Oral Surgery, LLC | Current | Accepting new patients | |
| Oral & Maxillofacial Surgery Institute PC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Garden State Oral & Maxillofacial Surgery, LLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Dentist
- Bayonne, NJ
- NPI 1427734680
-
- Oral and Maxillofacial Surgery (Dentist)
- Bayonne, NJ
- NPI 1639409782
Oral and Maxillofacial Surgery
-
- Oral and Maxillofacial Surgery (Dentist)
- Elmwood Park, NJ
- NPI 1104249226
Oral and Maxillofacial Surgery
-
- Oral and Maxillofacial Surgery (Dentist)
- Newark, NJ
- NPI 1114152766
Oral and Maxillofacial Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1992791966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 BROADWAY",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070023088",
"telephone_number": "201-858-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 BROADWAY",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070023088",
"telephone_number": "201-858-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIRIENZO",
"first_name": "STEVEN",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NJ",
"license": "DI021870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.