DR. JOSEPH PETER CIVITELLO (NPI# 1760849418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760849418 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH PETER CIVITELLO |
| Credential | DDS |
| Practice Address |
1 Bay Ave # 3 Montclair NJ 07042-4837 |
| Mailing Address |
5 Carr Pl Totowa NJ 07512-1916 |
| Practice Telephone | 9734296887 |
| Mailing Telephone | 8626842041 |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1 BAY AVE # 3 |
| City | MONTCLAIR |
| State | NJ |
| Zip Code | 07042-4837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451261 | Montclair Art Museum | Voluntary or Charitable | 3 South Mountain Avenue, Montclair, NJ 07042 | 2019-11-12 |
| 1740847797 | Magnify In-home Eyecare | Optometrist | Little Nursing Home, 71 Christopher Street, Montclair, NJ 07042 | 2019-05-24 |
| 1326539073 | Wendy C Kaplan | Social Worker | 460 Bloomfield Ave Suite 209, Montclair, NJ 07042 | 2018-05-29 |
| 1538666342 | Mary Elizabeth Mcgaughan | Psychologist | 239 Grove Street, Montclair, NJ 07042 | 2018-04-09 |
| 1023546777 | Alexander Scott Fisher | Dentist | 39 S Fullerton Ave Fl 2, Montclair, NJ 07042 | 2017-05-25 |
| 1942754825 | Kaity Rodriguez | Social Worker | 105 Grove St., Montclair, NJ 07042 | 2016-08-09 |
| 1144678889 | Melissa Cardinal | Nurse Practitioner | 36 Valley Road, 529, Montclair, NJ 07042 | 2016-06-02 |
| 1528413655 | Bellapianta Orthopaedics and Sports Medicine LLC | Orthopaedic Surgery | 1 Bay Avenue, Harries Pavilion, Suite 1, Montclair, NJ 07042 | 2016-04-26 |
| 1740647643 | Wendalyn Leona Browne | Massage Therapist | 37 Watchung Plaza, 2l, Montclair, NJ 07042 | 2016-01-22 |
| 1891168670 | Patience Moore | Social Worker | 460 Bloomfield Ave Ste 306, Montclair, NJ 07042 | 2015-11-03 |
| Find all providers in zip 07042 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701739 | Julissa Leann Nario | Student in an Organized Health Care Education/Training Program | 9365 Mills Ave Apt 3, Montclair, CA 91763-1807 | 2020-08-20 |
| 1457980369 | Soroush Seifirad | Student in an Organized Health Care Education/Training Program | 1 Bay Ave Bay Avenue, Montclair, NJ 07042-4837 | 2020-04-02 |
| 1518513431 | Jennifer Crandall | Student in an Organized Health Care Education/Training Program | 11182 Poulsen Ave, Montclair, CA 91763-6513 | 2019-08-15 |
| 1326603556 | Alisa Farokhian | Student in an Organized Health Care Education/Training Program | 34 Valley Rd Apt 609, Montclair, NJ 07042-2871 | 2019-05-02 |
| 1033679600 | Brian Behnke | Student in an Organized Health Care Education/Training Program | 8937 Felipe Ave, Montclair, CA 91763-1437 | 2019-03-20 |
| 1316407943 | Aquino Anthony Williams | Student in an Organized Health Care Education/Training Program | Attn. Department of Medicine/internal Medicine Program, 1 Bay Avenue, Montclair, NJ 07042-2315 | 2019-03-20 |
| 1982058897 | Lara Musser | Student in an Organized Health Care Education/Training Program | 141 Forest St, 1, Montclair, NJ 07042-3807 | 2016-04-17 |
| 1851795546 | Alison Patton | Student in an Organized Health Care Education/Training Program | 15827 Vista Dr, Montclair, VA 22025-1808 | 2014-10-09 |
| 1225304140 | Michael Joseph Laquaglia | Student in an Organized Health Care Education/Training Program | 138 Forest St, Montclair, NJ 07042-3806 | 2012-03-26 |
| 1326370453 | Andrew Peter Semedo | Student in an Organized Health Care Education/Training Program | 9916 Central Ave, Montclair, CA 91763-3201 | 2010-01-29 |
| Find all providers in MONTCLAIR | ||||
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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.