Active NPIIndividual providerSole proprietor

Dr. Matthew M Vaccaro, DDS

Dentist, General Practice in Green Village, New Jersey

NPI Number1730246075
Practice location
661 Shunpike RD Ste 1, Green Village, NJ 07935-3022
Fax
973-377-8847
Last updated
May 26, 2022

Matthew M Vaccaro is a Dentist, General Practice based in Green Village, NJ. Matthew M Vaccaro practices in Green Village, NJ and has the professional credentials of DDS. The NPI Number for Matthew M Vaccaro is 1730246075 and holds a License No. 22DIO2128800 (NJ). The current practice location address for Matthew M Vaccaro is 661 Shunpike RD Ste 1, Green Village, NJ 07935-3022 and can be reached out via phone at 973-377-8811 and via fax at 973-377-8847.

Provider Profile Details

NPI Number
1730246075
Provider Name
Matthew M Vaccaro
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
661 Shunpike RD Ste 1, Green Village, NJ 07935-3022
Phone Number
973-377-8811
Fax Number
973-377-8847
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
January 3, 2007
Last Update Date
May 26, 2022
Certification Date
May 26, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
661 Shunpike RD Ste 1
Green Village, NJ 07935-3022
Zip
07935-3022
Phone Number
973-377-8811
Fax Number
973-377-8847
Green Village, NJ 07935Get directions →

Provider Business Mailing Address Details

Address
661 Shunpike RD Ste 1
Green Village, NJ 07935-3022
City
Green Village
State
NJ
Zip
07935-3022
Phone Number
973-377-8811
Fax Number
973-377-8847

License Information

License Number (1)
22DIO2128800
License State (1)
NJ
Taxonomy (1)
Dentist · 122300000X
License Number (2)
22DI02128800
License State (2)
NJ
Taxonomy (2)
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. Matthew M Vaccaro, DDS?

The NPI number of Dr. Matthew M Vaccaro, DDS is 1730246075. It was assigned on January 3, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Matthew M Vaccaro, DDS?

Dr. Matthew M Vaccaro, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DIO2128800.

Where does Dr. Matthew M Vaccaro, DDS practice?

The practice location is 661 Shunpike RD Ste 1, Green Village, NJ 07935-3022. The office can be reached at 973-377-8811 (phone) or 973-377-8847 (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 1730246075 directly on the NPPES registry website.

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