DR. PETER JOHN ANTONELLIS (NPI# 1851474142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851474142 |
| Entity Type | Individual |
| Full Name | DR. PETER JOHN ANTONELLIS |
| Credential | D.M.D. |
| Practice Address |
170 Changebridge Rd Unit C 5-2 Montville NJ 07045-9115 |
| Practice Telephone | 9732271132 |
| Mailing Telephone | 9732271132 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
13056 | NJ | Dental Providers |
| Street Address |
170 CHANGEBRIDGE RD UNIT C 5-2 |
| City | MONTVILLE |
| State | NJ |
| Zip Code | 07045-9115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295780286 | Berdj Feredjian | Dentist | 170 Changebridge Rd, Suite B-33, Montville, NJ 07045-9115 | 2006-05-24 |
| 1457749095 | Jaclyn Festa | Counselor | 170 Changebridge Rd, B3-2, Montville, NJ 07045-9115 | 2015-01-06 |
| 1770984528 | Primary Care Partners LLC | Family Medicine | 170 Changebridge Rd, Suite A3, Montville, NJ 07045-9115 | 2014-09-11 |
| 1043631294 | Pareen Raj Lapsiwala | Family Medicine | 170 Changebridge Rd, Suite C-3, Montville, NJ 07045-9115 | 2013-12-13 |
| 1538406574 | Mary C Kannankeril Md.,pa | Psychiatry & Neurology | 170 Changebridge Rd, Suite B 3-4, Montville, NJ 07045-9115 | 2013-01-10 |
| 1760757884 | Changebridge Medical Associates, Pa | Non-Pharmacy Dispensing Site | 170 Changebridge Rd, C-3, Montville, NJ 07045-9115 | 2012-03-22 |
| 1699044305 | Kowalski Family Dental, P.C. | Dentist | 170 Changebridge Rd, Suite A2, Montville, NJ 07045-9115 | 2011-12-26 |
| 1457640534 | Roxanne N Kiupe | Massage Therapist | 170 Changebridge Rd, Unit A4 Suite 3, Montville, NJ 07045-9115 | 2011-03-29 |
| 1043473309 | Sandra Hoenig | Family Medicine | 170 Changebridge Rd, Suite C3, Montville, NJ 07045-9115 | 2008-07-08 |
| 1295993475 | Mary Jo Reid | Social Worker | 170 Changebridge Rd, Suite B 3-2, Montville, NJ 07045-9115 | 2008-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780160655 | Jkf Consulting | Psychologist | 120 Ridge Dr, Montville, NJ 07045 | 2018-07-13 |
| 1215466651 | Raymond Scott Giordano | Home Health Aide | 150 River Road Suite F1, Montville, NJ 07045 | 2017-06-08 |
| 1275942732 | Falcon Medical Corp | Ambulance | 10 Joan Dr, Montville, NJ 07045 | 2014-08-10 |
| 1467875708 | Alyssa Puorro | Chiropractor | 20 Cambray Road, Montville, NJ 07045 | 2014-01-22 |
| 1376985085 | Peaceful Journey | Counselor | 328 Changebridge Road, Montville, NJ 07045 | 2013-07-23 |
| 1457639908 | Ellen Marie Ruban | Social Worker | 390 Main Rd., Montville, NJ 07045 | 2011-08-02 |
| 1215251228 | Hetal Sojitra | Physical Therapist | 115 Horseneck Rd Ste 5, Montville, NJ 07045 | 2010-03-19 |
| 1447452693 | Tara Ann Gieger | Dental Hygienist | 140 River Road, Suite J-2, Montville, NJ 07045 | 2007-06-01 |
| 1023219565 | Joyce Levine Stern | Social Worker | 170 Changebridge Road, Suite C2, Montville, NJ 07045 | 2007-05-31 |
| 1174683478 | Montville Pharmacy Nj Corp | Pharmacy | 185 Changebridge Road, Montville, NJ 07045 | 2006-12-10 |
| Find all providers in zip 07045 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841673456 | Jason H. Lin | Dentist | 23 Timber Dr, Montville, NJ 07045-9337 | 2015-06-30 |
| 1760697023 | David M Solomon | Dentist | 92 Louis Dr, Montville, NJ 07045-9050 | 2007-05-11 |
| 1073696373 | Montville Orthodontic Associates | Dentist | 170 Changebridge Rd, Unit C 5-2, Montville, NJ 07045-9115 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452487 | Piskai Orthodontics LLC | Dentist | 302 Haddonfield Berlin Rd, Voorhees, NJ 08043-1413 | 2020-09-23 |
| 1992319537 | Nishat Anbar Shahabuddin | Dentist | 3123 Kennedy Blvd, North Bergen, NJ 07047-2378 | 2020-09-01 |
| 1770192239 | Eastern Dental Holdings, LLC | Dentist | 1030 St. Georges Avenue, Suite 304, Avenel, NJ 07001-1327 | 2020-07-30 |
| 1831714765 | Suzanne Quigley Dmd, LLC | Dentist | 130 Maple Ave Ste 2b, Red Bank, NJ 07701-1729 | 2020-06-16 |
| 1871114512 | Marigold Pediatric Dentistry and Orthodontics | Dentist | 1713 Springfield Ave, Maplewood, NJ 07040-2914 | 2020-05-05 |
| 1366076648 | Robert Vartkis Kinoian | Dentist | 138 Spring Valley Rd, Paramus, NJ 07652-5332 | 2020-02-26 |
| 1932732856 | Elite Orthodontics | Dentist | 61 Berdan Ave, Wayne, NJ 07470-3231 | 2020-02-19 |
| 1568006583 | Bowen Family Orthodontics, LLC | Dentist | 7 Myers Dr Ste B, Mullica Hill, NJ 08062-9513 | 2019-11-01 |
| 1376185181 | Robert Bray | Dentist | 620 Shore Road, Somers Point, NJ 08244 | 2019-10-14 |
| 1295376010 | Amy H Hoch | Dentist | 105 Reids Hill Rd Ste A, Matawan, NJ 07747-4003 | 2019-10-02 |
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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.