NORTHFIELD DENTAL GROUP
NPI 1225134455
Dentist - General Practice in West Orange, NJ

Active since September 15, 2006
769 NORTHFIELD AVE, SUITE 154, WEST ORANGE, NJ 07052(973) 736-0111(973) 325-6442 Get Directions Write a Review

NPPES record last updated: March 2, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Northfield Dental Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHFIELD DENTAL GROUP (NPI 1225134455) is a healthcare organization registered as a general practice in West Orange, New Jersey and active in the NPI registry since September 2006. The organization lists Angela Pisauro, Benefits, as its authorized official.

NPPES Registry Identity

NPI1225134455
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNORTHFIELD DENTAL GROUP
Location Address769 NORTHFIELD AVE, SUITE 154West Orange, NJ 07052-1198
Mailing Address769 Northfield Ave, Suite 154West Orange, NJ 07052-1198 · (973) 736-0111 · Fax (973) 325-6442
Fax(973) 325-6442
Organization SubpartNo
Authorized OfficialAngela PisauroBenefits · (973) 736-0111
Enumeration DateSeptember 15, 2006
Last NPPES UpdateMarch 2, 2011
✔ NPI 1225134455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
769 NORTHFIELD AVE, West Orange, NJ 07052

Other Identifiers 1

Medicare NSC6477210001

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northfield Dental Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Northfield Dental Group, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Dentist
NPI 1023685591
769 NORTHFIELD AVE STE 154
West Orange, NJ 07052
(973) 736-0111
✔ PECOSSame address
Oral Surgery
NPI 1083711469
769 NORTHFIELD AVE SUITE 154
West Orange, NJ 07052
(973) 736-0111
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northfield Dental Group's NPI number?

The NPI number for Northfield Dental Group is 1225134455. It was assigned to this organization in the NPPES registry on September 15, 2006.

Where is Northfield Dental Group located?

Northfield Dental Group is located at 769 Northfield Ave Suite 154, West Orange, NJ 07052. The listed phone number is (973) 736-0111.

What is Northfield Dental Group's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Northfield Dental Group enrolled in Medicare?

Yes. Northfield Dental Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northfield Dental Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Northfield Dental Group, in Dentist and Oral Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northfield Dental Group was last updated on March 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.