Monmouth Dental Arts LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MONMOUTH DENTAL ARTS LLC

Practice address

257 Monmouth Road Suite 6
Oakhurst, NJ 07755

Phone

(732) 531-4165

Fax

(732) 531-2610

NPI assigned

Jan 9, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Adly, DDSNPI 1730732793

Title

Owner/Dentist

Phone

(732) 531-4165

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Adly, DDS

  • General Practice Dentistry
  • Oakhurst, NJ
  • NPI 1730732793
  NPD Authorized official
• Anthony R Bevacqui, DMD

  • General Practice Dentistry
  • Oakhurst, NJ
  • NPI 1265596217
  NPD (past)

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

{
    "created_epoch": "1641686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1376204537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 MONMOUTH ROAD SUITE 6",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "07755",
            "telephone_number": "732-531-4165",
            "fax_number": "732-531-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 MONMOUTH ROAD SUITE 6",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "07755",
            "telephone_number": "732-531-4165",
            "fax_number": "732-531-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH DENTAL ARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-09",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "ADLY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "732-531-4165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "monmouthdentalarts@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Office email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "257 Monmouth Road Suite 6",
            "city": "Oakhurst",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "07755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Meghan R Miller, MA/CCC-SLP
• Jeffrey Mobilio
• Richard A Mojares, M.D.
• Grace Morabia, RN
• Morahmoves LLC
• Aaron Morgan, MD
• David H Moskowitz, M.D.
• Alexandra Mosley

• General Practice Dentistry in Oakhurst, NJ
• Providers in Oakhurst, 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 Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.