Andres Jimenez Wolf, DDS, MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

22DI02877900 Issued in NJ

Practice address

193 US Highway 9 Ste 2C
Manalapan, NJ 07726-3016

Phone

(732) 409-2900

NPI assigned

Feb 19, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Monmouth County Periodontics LLC

  • Periodontics
  • Manalapan, NJ
  • NPI 1346995834
  NPD Authorized official
• Aspen Hill 3D Imaging LLC

  • General Practice Dentistry
  • Silver Spring, MD
  • NPI 1396354312
  NPD (past)
• Steven L. Atlas, D.M.D., P.C.

  • Periodontics
  • Exton, PA
  • NPI 1235143637
  NPD (past)

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1124410741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E FORT AVE APT 803",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305510",
            "telephone_number": "305-979-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 US HIGHWAY 9 STE 2C",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263016",
            "telephone_number": "732-409-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ WOLF",
        "first_name": "ANDRES",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-19",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "16795",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS041521",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "DC",
            "license": "DEN1002200",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI02877900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeb Rehabilitation PC
• Jeffrey Hochstein DDS LLC
• Jersey Shore Associates in Internal Medicine of Marlboro, P.C.
• Jersey Vision Consultants Inc
• Jfe Associates LLC
• Hyangseong Jo
• Joffe Family Chiropractic LLC
• Peter Joffe, D.C.
• John a Collini OD PC
• Sarah Ann Johnson, OTR

• Periodontics in Manalapan, NJ
• Providers in Manalapan, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.