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Northfield Dental Group

NPI 1225134455ActiveOrganization· Dentist, General Practice· West Orange, NJ

Dentist, General Practice in West Orange, New Jersey, registered in NPPES in September 2006. The authorized official on file is Angela Pisauro, Benefits. Enrolled in Medicare as dme supplier - oral surgery - dentist and part b supplier - clinic/group practice.

Overview

NPI1225134455
StatusActive
Entity typeOrganization
NPI issuedSep 15, 2006
Last updated in NPPESMar 2, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Oral Surgery - Dentist (NJ); Part B Supplier - Clinic/Group Practice (NJ)

Medicare sources and data years

Other Dentist, General Practice providers in West Orange

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