Active NPI
Alvin Aquino, D.M.D.
- Dentist
- Avenel, NJ
National Provider Identifier
1164818548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 058648
- Practice address
- 1040 US Highway 1 Ste 103
Avenel, NJ 07001-1539 - Phone
- (732) 582-4224
- Fax
- (732) 482-4211
- NPI assigned
- Apr 12, 2015
- Last updated
- Jun 22, 2023
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 058648 | NY | Primary |
| General Practice Dentistry | 1223G0001X | 058648 | NY |
Addresses
Primary practice location
1040 US Highway 1 Ste 103
Avenel, NJ 07001-1539
Mailing address
88 Niagara St
Suite 3a
Tonawanda, NY 14150-1104
Phone (716) 343-6711
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 |
|---|---|---|---|
| 058648 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Oak Dental NJ LLC | Dentist | Current | Accepting new patients |
Locations
1040 US Highway 1
Ste 103
Avenel, NJ 07001
Phone (732) 582-4224
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1164818548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 NIAGARA ST",
"address_2": "SUITE 3A",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "141501104",
"telephone_number": "716-343-6711",
"fax_number": "716-343-6710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 US HIGHWAY 1 STE 103",
"city": "AVENEL",
"state": "NJ",
"postal_code": "070011539",
"telephone_number": "732-582-4224",
"fax_number": "732-482-4211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AQUINO",
"first_name": "ALVIN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-12",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "058648",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "058648",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avenel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.