Healthcare Provider Details

I. General information

NPI: 1063375848
Provider Name (Legal Business Name): DSM NJ PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 COLUMBIA TPKE STE 2A
FLORHAM PARK NJ
07932-2181
US

IV. Provider business mailing address

131 COLUMBIA TPKE STE 2A
FLORHAM PARK NJ
07932-2181
US

V. Phone/Fax

Practice location:
  • Phone: 973-377-5117
  • Fax:
Mailing address:
  • Phone: 973-377-5117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. CHARLES MATARAZZO
Title or Position: OWNER
Credential: DMD
Phone: 973-377-5117