Active NPI
Gabriel Jared Ollins, D.D.S
- Orthodontics and Dentofacial Orthopedics Dentistry
- Nutley, NJ
National Provider Identifier
1124350061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 22DI02267900
- Practice address
- 653 Franklin Ave
Nutley, NJ 07110-1209 - Phone
- (973) 667-0771
- NPI assigned
- Feb 3, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 22DI02267900 | NJ | Primary |
Addresses
Primary practice location
653 Franklin Ave
Nutley, NJ 07110-1209
Mailing address
653 Franklin Ave
Nutley, NJ 07110-1209
Phone (973) 667-0771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02267900 | NJ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265155200000",
"number": "1124350061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "653 FRANKLIN AVE",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071101209",
"telephone_number": "973-667-0771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "653 FRANKLIN AVE",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071101209",
"telephone_number": "973-667-0771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLLINS",
"first_name": "GABRIEL",
"middle_name": "JARED",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-03",
"last_updated": "2010-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NJ",
"license": "22DI02267900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nutley, NJ
- Nutley Volunteer Emergency Rescue Squad
- Ny NM Chiropractic Wellness PC
- Odek Medical Care & Consulting Services
- Raphael Oluseun Odekunle, MD
- Bruce Ollins, D.M.D.
- Omega Medical Group, P.C.
- Oncology Associates of North Jersey Limited Liability Company
- One on One Occupational Therapy PA
- Maria A. Ongoco-Kamhi, MS, CRC, LAC
- Oral & Maxillofacial Assoc of Nutley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.