Active NPI
Dustin Hawley, DDS
- General Practice Dentistry
- Perth Amboy, NJ
National Provider Identifier
1013485903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI02755400
- Practice address
- 275 Hobart St
Perth Amboy, NJ 08861-3396 - Phone
- (732) 376-9333
- NPI assigned
- Nov 8, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 22DI02755400 | NJ | Primary |
Addresses
Primary practice location
275 Hobart St
Perth Amboy, NJ 08861-3396
Mailing address
275 Hobart St
Perth Amboy, NJ 08861-3396
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visiting Nurse Association of Central Jersey Community Health Center I | Current | Accepting new patients | |
| Central Jersey Medical Center, Inc. | Current | Accepting new patients | |
| Central Jersey Medical Center, Inc | Current | Accepting new patients | |
| Visiting Nurse Association of Central Jersey Community Health Center I | Current | Accepting new patients |
Locations
1301 Main St
Asbury Park, NJ 07712
Phone (732) 774-6333
597 Park Ave
Freehold, NJ 07728
Phone (732) 294-2540
35 Broad St
Keyport, NJ 07735
Phone (732) 888-4149
80 Johnson Ave
Newark, NJ 07108
Phone (973) 623-8592
275 Hobart St
Perth Amboy, NJ 08861
Phone (732) 376-6635
Interoperability endpoints
- dustin.hawley.p1@direct.vnahg.nextgenshare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Carteret, NJ
- NPI 1932974250
-
- Federally Qualified Health Center (FQHC)
- Asbury Park, NJ
- NPI 1841240561
-
- Federally Qualified Health Center (FQHC)
- Perth Amboy, NJ
- NPI 1306891791
-
- Community/Retail Pharmacy
- Asbury Park, NJ
- NPI 1205621018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1013485903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 HOBART ST",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088613396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 HOBART ST",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088613396",
"telephone_number": "732-376-9333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWLEY",
"first_name": "DUSTIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-08",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02755400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Perth Amboy, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.