Organization Active NPI

Ocean Pediatric Orthodontic Associates LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Manahawkin, NJ
National Provider Identifier
1043748767
Registry record updated May 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
OCEAN PEDIATRIC ORTHODONTIC ASSOCIATES LLC
Practice address
1301 Route 72 W Ste 305
Manahawkin, NJ 08050-2483
Phone
(609) 597-9195
NPI assigned
May 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elisa VelazquezNPI 1972663243
Title
Partner
Phone
(732) 473-1123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1301 Route 72 W Ste 305
Manahawkin, NJ 08050-2483

Mailing address

1301 Route 72 W Ste 305
Manahawkin, NJ 08050-2483

National Provider Directory

National Provider Directory

Locations

1301 Route 72 W
Ste 305
Manahawkin, NJ 08050
Phone (609) 597-9195

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495670400000",
    "number": "1043748767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 ROUTE 72 W STE 305",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 ROUTE 72 W STE 305",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502483",
            "telephone_number": "609-597-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN PEDIATRIC ORTHODONTIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-25",
        "last_updated": "2017-05-25",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "ELISA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "732-473-1123"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.