DR. JOSEPH DIFAZIO (NPI# 1235264227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235264227 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH DIFAZIO |
| Credential | D.M.D. |
| Practice Address |
107 Monmouth Rd Suite 101 West Long Branch NJ 07764-1000 |
| Practice Telephone | 7325420011 |
| Practice Fax Number | 7325429419 |
| Mailing Telephone | 7325420011 |
| Mailing Fax Number | 7325429419 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
3161 | NJ | Dental Providers |
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
22DI01294600 | NJ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1160430 | 05 |
| Street Address |
107 MONMOUTH RD SUITE 101 |
| City | WEST LONG BRANCH |
| State | NJ |
| Zip Code | 07764-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841296308 | Richard B Lubitz | Dentist | 107 Monmouth Rd, Ste 107, West Long Branch, NJ 07764-1021 | 2005-06-21 |
| 1548700784 | So's Family Wellness LLC | Acupuncturist | 107 Monmouth Rd, Suite 109, West Long Branch, NJ 07764-1000 | 2017-03-07 |
| 1699188359 | Lifestyles Medical | Social Worker | 107 Monmouth Rd, Suite 104 D, West Long Branch, NJ 07764-1021 | 2014-06-10 |
| 1609212349 | Lauren Salani | Social Worker | 107 Monmouth Rd, Suite 104, West Long Branch, NJ 07764-1000 | 2013-05-21 |
| 1932473576 | Shore Physicians for Alternative Medicine PC | Clinic/Center | 107 Monmouth Rd, Ste 104, West Long Branch, NJ 07764-1000 | 2012-02-29 |
| 1649543273 | Physicians for Alternative Medicine | Social Worker | 107 Monmouth Rd, Suite 104, West Long Branch, NJ 07764-1000 | 2012-02-13 |
| 1629238860 | Matthew Jared Davis | Psychiatry & Neurology | 107 Monmouth Rd, #110, West Long Branch, NJ 07764-1000 | 2008-06-11 |
| 1932300134 | Vinson Michael Disanto I | Family Medicine | 107 Monmouth Rd, Suite 104, West Long Branch, NJ 07764-1000 | 2007-05-29 |
| 1265641070 | Joshua Todd Mendelson | Psychiatry & Neurology | 107 Monmouth Rd, Suite 110, West Long Branch, NJ 07764-1000 | 2007-05-21 |
| 1720202278 | Dakshesh K. Patel | Specialist | 107 Monmouth Rd, #110, West Long Branch, NJ 07764 | 2007-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659854461 | Melanie Ramp | Nurse Practitioner | 100 Route 36, Suite 2k Vantage Point Bldg, West Long Branch, NJ 07764 | 2018-09-08 |
| 1154849750 | Rosbel Maria Puello | Counselor | 232 Norwood Avenue Building #2, West Long Branch, NJ 07764 | 2017-09-03 |
| 1821445594 | Jsr Medical Services LLC | Clinic/Center | 214 State Highway 36, Suite 5, West Long Branch, NJ 07764 | 2016-05-23 |
| 1265831259 | Allied Digestive Health, LLC | Anesthesiology | 187 Route 36, Monmouth Corporate Park Center I;building A, Suite 230, West Long Beach, NJ 07764 | 2014-08-15 |
| 1669891180 | Christopher Charles Gillis | Neurological Surgery | 121 Route 36 Ste 330, West Long Branch, NJ 07764 | 2014-04-11 |
| 1336485309 | Christopher Ralph Castellano | Physician Assistant | Afc Urgent Care, 214 State Highway 36, West Long Beach, NJ 07764 | 2012-12-19 |
| 1457687337 | Danielle Monti Pfeiffer | Counselor | 232 Norwood Avenue, Building 2, West Long Branch, NJ 07764 | 2009-10-27 |
| 1770741084 | Subha Sundararajan | Internal Medicine | 60 Highway 35, Suite B, West Long Branch, NJ 07764 | 2008-05-23 |
| 1033376157 | Alexander G Lasalle | Social Worker | 24 Walnut Place, West Long Branch, NJ 07764 | 2008-05-16 |
| 1962610485 | Richard Dean Isaacson | Dentist | 103 Parker Road, West Long Branch, NJ 07764 | 2007-05-18 |
| Find all providers in zip 07764 | ||||
| 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 | WEST LONG BRANCH |
| Zip Code | 07764 |
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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.