DR. ERICA C. DEFABIO (NPI# 1225291552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225291552 |
Entity Type | Individual |
Full Name | DR. ERICA C. DEFABIO |
Credential | DMD |
Practice Address |
440 State Route 34 Colts Neck NJ 07722-2513 |
Mailing Address |
5 Stone Edge Rd Bedminster NJ 07921-1643 |
Practice Telephone | 7327807790 |
Mailing Telephone | 9086707719 |
Enumeration Date | 2008-07-07 |
Last Update Date | 2012-07-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223G0001X |
Dentist Specialization: General Practice |
22D102406500 | NJ | Dental Providers |
N | 1223G0001X |
Dentist Specialization: General Practice |
P64200 | NY | Dental Providers |
Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
22DI02406500 | NJ | Dental Providers |
Street Address |
440 STATE ROUTE 34 |
City | COLTS NECK |
State | NJ |
Zip Code | 07722-2513 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407379191 | Elena Marie Kochanek | Psychologist | 415 Highway 34, Suite 116, Colts Neck, NJ 07722 | 2017-07-25 |
1356890057 | Lauren Punzone | Nurse Practitioner | 12 Country Club Ln, Colts Neck, NJ 07722 | 2016-09-23 |
1922440627 | Vimax LLC | Clinic/Center | 6 Cornwall St., Colts Neck, NJ 07722 | 2013-07-23 |
1689923914 | Patricia Sobal | Behavioral Analyst | 12 Mulberry Lane, Colts Neck, NJ 07722 | 2012-08-31 |
1538414776 | Marsha E Bodus | Registered Nurse | 201 Route 34 South, Bldg C-3, Colts Neck, NJ 07722 | 2012-07-13 |
1104116649 | Andrew Gerard Fischer | Dentist | 340 Route 34 South, Suite 204, Colts Neck, NJ 07722 | 2011-04-18 |
1891961744 | Gloria Yrizarry Tillmann | Psychologist | 14 Red Hawk Rd No, Colts Neck, NJ 07722 | 2008-05-01 |
1225214604 | Reflections @ Colts Neck | Assisted Living Facility | 3 Meridian Circle, Colts Neck, NJ 07722 | 2008-01-15 |
1255462552 | Judith Ann Kramer | Psychologist | 29 State Highway #34, Colts Neck, NJ 07722 | 2007-03-08 |
1164567467 | Harlene Joy Ross | Social Worker | 29 Highway 34, Colts Neck Consulting Group, Colts Neck, NJ 07722 | 2007-02-21 |
Find all providers in zip 07722 |
Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124403795 | Heba Elkassaby | Dentist | 110 Bergen St Rm C-703, Newark, NJ 07103-2495 | 2015-07-24 |
1396131371 | Nakul H Rathi | Dentist | 28 Powderhorn Dr, Rockaway, NJ 07866-4835 | 2015-04-07 |
1447507785 | Smile Design Specialist, L.L.C. | Dentist | 312 Belleville Turnpike, Suite 3-b, North Arlington, NJ 07031-6460 | 2012-08-06 |
1619234358 | Sherman Farahani | Dentist | 1100 Maxwell Ln Unit 1106, Hoboken, NJ 07030-6881 | 2012-04-19 |
1144595356 | Advanced Dental of Woolwich | Dentist | 1630 Rt 322, Suite F, Woolwich, NJ 08085 | 2012-03-21 |
1164792453 | Daniel Seth Greenbaum | Dentist | 592 Us Highway 46, Fairfield, NJ 07004 | 2012-01-04 |
1013161553 | George Thomas Favetta Jr. | Dentist | 1966 Washington Valley Rd, Martinsville, NJ 08836-2037 | 2008-11-11 |
1740432137 | Central New Jersey Prosthodontics LLC | Dentist | 115 Copperfield Ln, Metuchen, NJ 08840-1234 | 2008-10-16 |
1043478977 | Edward J Kuch | Dentist | 733 River Road, Fair Haven, NJ 07704-3311 | 2008-05-28 |
1952573412 | Gail Patricia Petrosky | Dentist | 225 Gordons Corner Road, Suite 2e, Manalapan, NJ 07726 | 2008-03-25 |
Find all providers with the same taxonomy |
City | COLTS NECK |
Zip Code | 07722 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.