Active NPIIndividual provider

Dr. Nicholas Berardo, DMD

Oral & Maxillofacial Surgery in Ridgefield, New Jersey

NPI Number1326057183
Practice location
605 Broad Ave, Suite 101, Ridgefield, NJ 07657
Fax
201-941-1246
Last updated
May 13, 2024

Nicholas Berardo is an Oral & Maxillofacial Surgery based in Ridgefield, NJ. Nicholas Berardo practices in Ridgefield, NJ and has the professional credentials of DMD. The NPI Number for Nicholas Berardo is 1326057183 and holds a License No. D114406 (NJ). The current practice location address for Nicholas Berardo is 605 Broad Ave, Suite 101, Ridgefield, NJ 07657 and can be reached out via phone at 201-941-9494 and via fax at 201-941-1246.

Provider Profile Details

NPI Number
1326057183
Provider Name
Nicholas Berardo
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
605 Broad Ave, Suite 101, Ridgefield, NJ 07657
Phone Number
201-941-9494
Fax Number
201-941-1246
Primary Taxonomy
Oral & Maxillofacial Surgery · 204E00000X
Sole Proprietor
No
Provider Enumeration Date
August 7, 2006
Last Update Date
May 13, 2024
Certification Date
May 13, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
605 Broad Ave
Suite 101
Ridgefield, NJ 07657
Zip
07657
Phone Number
201-941-9494
Fax Number
201-941-1246
Ridgefield, NJ 07657Get directions →

Provider Business Mailing Address Details

Address
16 Johnson Avenue
Hackensack, NJ 07601
City
Hackensack
State
NJ
Zip
07601
Phone Number
201-342-7353
Fax Number
201-342-7982

License Information

License Number (1)
D114406
License State (1)
NJ
License Number (2)
22DI01440601
License State (2)
NJ
Taxonomy (2)
Oral & Maxillofacial Surgery · 204E00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Nicholas Berardo, DMD?

The NPI number of Dr. Nicholas Berardo, DMD is 1326057183. It was assigned on August 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Nicholas Berardo, DMD?

Dr. Nicholas Berardo, DMD is registered under the primary taxonomy Oral & Maxillofacial Surgery (code 204E00000X), licensed in NJ under license number D114406.

Where does Dr. Nicholas Berardo, DMD practice?

The practice location is 605 Broad Ave, Suite 101, Ridgefield, NJ 07657. The office can be reached at 201-941-9494 (phone) or 201-941-1246 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326057183 directly on the NPPES registry website.

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