DR. VITO L MODUGNO (NPI# 1992842496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992842496 |
| Entity Type | Individual |
| Full Name | DR. VITO L MODUGNO |
| Credential | DMD |
| Practice Address |
370 Union Blvd Totowa NJ 07512-2561 |
| Practice Telephone | 9733891110 |
| Practice Fax Number | 9733891921 |
| Mailing Telephone | 9733891110 |
| Mailing Fax Number | 9733891921 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DI 18054 | NJ | Dental Providers |
| Street Address |
370 UNION BLVD |
| City | TOTOWA |
| State | NJ |
| Zip Code | 07512-2561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700923216 | Valley Oral & Maxillofacial Surgery, Pa | Dentist | 370 Union Blvd, Totowa, NJ 07512-2561 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396265682 | Joseph Choi | Student in an Organized Health Care Education/Training Program | 136 Independence Trail, Totowa, NJ 07512 | 2017-06-27 |
| 1508228537 | Psycho-educational Associates | Community/Behavioral Health | 999 Riverview Dr., Suite 201, Totowa, NJ 07512 | 2016-03-29 |
| 1013381086 | De La Torre Chiropractic Center, LLC | Chiropractor | 159 Union Blvd, Unit B, Totowa, NJ 07512 | 2015-11-13 |
| 1396123527 | Pratiksha Pandit Chesney | Physical Therapist | 10 Crews St., Totowa, NJ 07512 | 2015-05-07 |
| 1356735666 | Ne Health Management LLC | Clinic/Center | 195 Us Hwy 46 West Suite 4, Totowa, NJ 07512 | 2015-03-25 |
| 1477989218 | Medical Nutrition of Nj, LLC | Nutritionist | 137 Union Blvd, Totowa, NJ 07512 | 2013-09-25 |
| 1245503648 | Biologictx LLC | Pharmacy | 40d Commerce Way, Totowa, NJ 07512 | 2012-02-15 |
| 1982987293 | Jorge De La Torre Jr. | Chiropractor | 442 Union Blvd, Store Front, Totowa, NJ 07512 | 2011-09-22 |
| 1851699540 | Leilani Irisari Toomey | Physical Therapist | 140 Sheperds Ln#1, Totowa, NJ 07512 | 2011-03-04 |
| 1972803526 | Maria E Tapia | Social Worker | 555 Preakness Ave., Totowa, NJ 07512 | 2010-10-29 |
| Find all providers in zip 07512 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638861 | Riverside Oral Surgery - Edison | Dentist | 80 Route 27, Edison, NJ 08820-3985 | 2020-08-07 |
| 1881227056 | New Jersey Oral Surgery & Dental Implants LLC | Dentist | 87 Route 520, Morganville, NJ 07751-1241 | 2020-02-17 |
| 1003457441 | Madison Dentistry LLC | Dentist | 268 Main Street, Suite B, Madison, NJ 07940 | 2019-10-07 |
| 1508424284 | Posh Dental LLC | Dentist | 39 Tallman Pl Ste 2, Englewood, NJ 07631-2702 | 2019-05-29 |
| 1124598230 | Jc Oral Health Care Pa | Dentist | 103 Greene St Fl 2, Jersey City, NJ 07302-3868 | 2018-12-01 |
| 1801370366 | Palisades Park Dental P.C. | Dentist | 225 Broad Ave # 102, Palisades Park, NJ 07650-1588 | 2018-09-20 |
| 1881174969 | Bethel Oral Surgery & Implants, PC | Dentist | 1319 Anderson Ave Ste D, Fort Lee, NJ 07024-1734 | 2018-08-17 |
| 1790271641 | Morristown Oral Surgery & Implantology Associates LLC | Dentist | 290 Madison Ave Ste 1, Morristown, NJ 07960-7401 | 2018-07-03 |
| 1255826939 | Riverside Oral Surgery - Livingston | Dentist | 209 S Livingston Ave Ste 2, Livingston, NJ 07039-4042 | 2018-06-26 |
| 1295249456 | Pa Dental LLC | Dentist | 17 Main St Ste 301, Robbinsville, NJ 08691-1401 | 2017-11-27 |
| Find all providers with the same taxonomy | ||||
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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.