Daconti, John

Daconti, John is an individual health care provider with primary practice located at 77 Newark Ave Suite 3 & 4, Belleville NJ 07109-4143. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Daconti, John can be contacted via phone (973) 528-2160.

Contact Information

Primary practice address
77 Newark Ave Suite 3 & 4 Belleville NJ 07109-4143
Fax: (973) 528-2165
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MB03091800 New Jersey
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X XD3165075 New Jersey

Profile Details

NPI number 1063460939
LBN Legal business name Daconti, John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Aug 15th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063460939 NPPES
New Jersey MEDICAID 1287001

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