Ocean Ave Dental Spec, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

OCEAN AVE DENTAL SPEC, LLC

Practice address

165 Ocean Ave Ste 2
Jersey City, NJ 07305-3812

Phone

(551) 554-3500

NPI assigned

Sep 6, 2022

Last updated

Sep 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael E Skolnick, DMD

Title

President

Phone

(973) 715-5963

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Youkyung Kim, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jersey City, NJ
  • NPI 1396639175
  NPD (past)

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1174244420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 OCEAN AVE STE 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073053812",
            "telephone_number": "551-554-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 OCEAN AVE STE 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073053812",
            "telephone_number": "551-554-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN AVE DENTAL SPEC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "SKOLNICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-715-5963",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://childsmiles.com/",
            "affiliation": "N",
            "address_1": "165 Ocean Ave Ste 2",
            "city": "Jersey City",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "073053812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert B Obrien, BCBA
• Obstetric Anesthesia Associate
• Occupational Health Centers of New Jersey, P.a. (Concentra Medical Center)
• Occuplaytional Therapy Associates (The Therapy Hideout)
• Ocean Audiology Inc
• Ocean Ave Dental, LLC
• Odyssey Iop Inc
• Odyssey Mental Health and Addiction Center, LLC
• Off the Map LLC
• Jessica Ofori-Abedi

• Dentist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.