Avraham Assouline, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI03076800 Issued in NJ

Practice address

335 Broadway
Long Branch, NJ 07740-6901

Phone

(732) 923-6790

NPI assigned

May 13, 2024

Last updated

Feb 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1366290579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 ASHLEY AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 BROADWAY",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406901",
            "telephone_number": "732-923-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSOULINE",
        "first_name": "AVRAHAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-13",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI03076800",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jyothi Asthana, M.D.
• Zaid Atari, MD
• Suryansh Atreya, MD
• Charlotte Austin
• Sevi Avigdor, MD

• General Practice Dentistry in Long Branch, NJ
• Providers in Long Branch, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.