Active NPIIndividual providerSole proprietor

Dr. Gary J Nicoletti, DMD

Dentist, General Practice in River Edge, New Jersey

NPI Number1528158581
Practice location
130 Kinderkamack RD, Suite #208, River Edge, NJ 07661-1939
Fax
201-488-9449
Last updated
July 8, 2007

Gary Joseph Nicoletti is a Dentist, General Practice based in River Edge, NJ. Gary Joseph Nicoletti practices in River Edge, NJ and has the professional credentials of DMD. The NPI Number for Gary Joseph Nicoletti is 1528158581 and holds a License No. 22DI01517700 (NJ). The current practice location address for Gary Joseph Nicoletti is 130 Kinderkamack RD, Suite #208, River Edge, NJ 07661-1939 and can be reached out via phone at 201-488-0200 and via fax at 201-488-9449.

Provider Profile Details

NPI Number
1528158581
Provider Name
Gary Joseph Nicoletti
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
130 Kinderkamack RD, Suite #208, River Edge, NJ 07661-1939
Phone Number
201-488-0200
Fax Number
201-488-9449
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
October 13, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Kinderkamack RD
Suite #208
River Edge, NJ 07661-1939
Zip
07661-1939
Phone Number
201-488-0200
Fax Number
201-488-9449
River Edge, NJ 07661Get directions →

Provider Business Mailing Address Details

Address
130 Kinderkamack RD
Suite #208
River Edge, NJ 07661-1939
City
River Edge
State
NJ
Zip
07661-1939
Phone Number
201-488-0200
Fax Number
201-488-9449

License Information

License Number
22DI01517700
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · 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. Gary J Nicoletti, DMD?

The NPI number of Dr. Gary J Nicoletti, DMD is 1528158581. It was assigned on October 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Gary J Nicoletti, DMD?

Dr. Gary J Nicoletti, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI01517700.

Where does Dr. Gary J Nicoletti, DMD practice?

The practice location is 130 Kinderkamack RD, Suite #208, River Edge, NJ 07661-1939. The office can be reached at 201-488-0200 (phone) or 201-488-9449 (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 1528158581 directly on the NPPES registry website.

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