DR. JOHN FRATTELLONE (NPI# 1578535670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578535670 |
| Entity Type | Individual |
| Full Name | DR. JOHN FRATTELLONE |
| Credential | DMD |
| Practice Address |
515 Newman Springs Rd Lincroft NJ 07738-1426 |
| Practice Telephone | 7328425915 |
| Practice Fax Number | 7328425910 |
| Mailing Telephone | 7328425915 |
| Mailing Fax Number | 7328425910 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
16514 | NJ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7521502 | 05 |
| Street Address |
515 NEWMAN SPRINGS RD |
| City | LINCROFT |
| State | NJ |
| Zip Code | 07738-1426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255737813 | Outpatient Surgeryanesthesia Services | Anesthesiology | 515 Newman Springs Rd, Lincroft, NJ 07738-1426 | 2014-11-10 |
| 1689099699 | Shari Kent | Dentist | 515 Newman Springs Rd, Lincroft, NJ 07738-1426 | 2014-02-27 |
| 1588799803 | Lincroft Oral and Maxillofacial Surgery | Dentist | 515 Newman Springs Rd, Lincroft, NJ 07738-1426 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477082923 | Veronica Zega | Specialist/Technologist | 35 Branson Drive, Lincroft, NJ 07738 | 2017-06-08 |
| 1821542481 | Township of Middletown | Community/Behavioral Health | 730 Newman Springs Road, Lincroft, NJ 07738 | 2016-08-11 |
| 1356506703 | Frank V. Porco | Emergency Medicine | 3 Deer Ln., Lincroft, NJ 07738 | 2008-07-25 |
| 1750435772 | Lauri A Taylor | Chiropractor | 555 Newman Springs Rd, Lincroft, NJ 07738 | 2007-01-23 |
| 1114070398 | Kenneth Lewandowski | Internal Medicine | 521 Newman Springs Road, Suite 21, Lincroft, NJ 07738 | 2007-01-19 |
| 1699827501 | Mary Ellen Stanisci | Psychologist | 654 Newman Springs Road, Lincroft, NJ 07738 | 2007-01-18 |
| 1336209824 | De La Salle Hall Inc | Skilled Nursing Facility | 810 Newman Springs Rd, Lincroft, NJ 07738 | 2006-12-12 |
| 1952470890 | Steven John Ryan | Physical Therapist | 706 Newman Springs Rd, Lincroft, NJ 07738 | 2006-11-07 |
| 1093761082 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 616 Newman Springs Rd, Lincroft, NJ 07738 | 2006-05-25 |
| 1790159283 | Thomas Pediatrics LLC | Pediatrics | 654 Newman Springs Road, Suite E, Lincroft, NJ 07738 | 2015-11-20 |
| Find all providers in zip 07738 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588799803 | Lincroft Oral and Maxillofacial Surgery | Dentist | 515 Newman Springs Rd, Lincroft, NJ 07738-1426 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638861 | Riverside Oral Surgery - Edison | Dentist | 80 Route 27, Edison, NJ 08820-3985 | 2020-08-07 |
| 1881227056 | New Jersey Oral Surgery & Dental Implants LLC | Dentist | 87 Route 520, Morganville, NJ 07751-1241 | 2020-02-17 |
| 1003457441 | Madison Dentistry LLC | Dentist | 268 Main Street, Suite B, Madison, NJ 07940 | 2019-10-07 |
| 1508424284 | Posh Dental LLC | Dentist | 39 Tallman Pl Ste 2, Englewood, NJ 07631-2702 | 2019-05-29 |
| 1124598230 | Jc Oral Health Care Pa | Dentist | 103 Greene St Fl 2, Jersey City, NJ 07302-3868 | 2018-12-01 |
| 1801370366 | Palisades Park Dental P.C. | Dentist | 225 Broad Ave # 102, Palisades Park, NJ 07650-1588 | 2018-09-20 |
| 1881174969 | Bethel Oral Surgery & Implants, PC | Dentist | 1319 Anderson Ave Ste D, Fort Lee, NJ 07024-1734 | 2018-08-17 |
| 1790271641 | Morristown Oral Surgery & Implantology Associates LLC | Dentist | 290 Madison Ave Ste 1, Morristown, NJ 07960-7401 | 2018-07-03 |
| 1255826939 | Riverside Oral Surgery - Livingston | Dentist | 209 S Livingston Ave Ste 2, Livingston, NJ 07039-4042 | 2018-06-26 |
| 1295249456 | Pa Dental LLC | Dentist | 17 Main St Ste 301, Robbinsville, NJ 08691-1401 | 2017-11-27 |
| Find all providers with the same taxonomy | ||||
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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.