Johnathan Peter Velardi

Dentist · Montclair, NJ

Individual Active NPI

NPI number 1104192863

Practice location

1 Bay Ave
Montclair, NJ 07042-4837
Phone
(973) 429-6037
Fax
(973) 680-7809

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NPI record

NPI
1104192863
Entity type
Individual (Type 1)
Enumeration date
March 28, 2012
Last updated
June 10, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 22DI02518201 NJ
General Acute Care Hospital 282N00000X — —

Mailing address

175 Biltmore St
North Arlington, NJ 07031-5609

About Johnathan Velardi

Johnathan Peter Velardi is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1 Bay Ave, Montclair, NJ 07042-4837. The NPI number 1104192863 was assigned on March 28, 2012 and the record was last updated on June 10, 2016.

Johnathan Velardi lists a license in the registry: #22DI02518201 (NJ) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Johnathan Peter Velardi?

The NPI number is 1104192863.

What is the phone number of Johnathan Velardi?

The phone number listed for the practice location is (973) 429-6037.

Where is Johnathan Velardi located?

1 Bay Ave, Montclair, NJ 07042-4837.

What is the taxonomy code for Johnathan Velardi?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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