Active NPI
Alexandra Marie Agaliotis, DMD
- General Practice Dentistry
- Neptune, NJ
National Provider Identifier
1386387702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI02908100
- Practice address
- Jersey Shore University Medical Center
1945 State Route 33
Neptune, NJ 07753 - Phone
- (732) 775-5500
- NPI assigned
- Apr 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN26822 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 22DI02908100 | NJ | Primary |
Addresses
Primary practice location
Jersey Shore University Medical Center
1945 State Route 33
Neptune, NJ 07753
Mailing address
10 Fieldstone CT
East Hanover, NJ 07936-3565
Phone (862) 222-2732
Other practice location 1
67 NJ-36 W
West Long Branch, NJ 07764
Phone (732) 571-8844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22-148-7576 | Other | NJ | JSUMC |
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 |
|---|---|---|---|
| DN26822 | FL | MD | General Practice Dentistry |
| 22DI02908100 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1386387702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 FIELDSTONE CT",
"city": "EAST HANOVER",
"state": "NJ",
"postal_code": "079363565",
"telephone_number": "862-222-2732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JERSEY SHORE UNIVERSITY MEDICAL CENTER",
"address_2": "1945 STATE ROUTE 33",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "07753",
"telephone_number": "732-775-5500"
}
],
"practiceLocations": [
{
"address_1": "67 NJ-36 W",
"address_purpose": "LOCATION",
"city": "West Long Branch",
"state": "NJ",
"postal_code": "07764",
"country_code": "US",
"telephone_number": "732-571-8844",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGALIOTIS",
"first_name": "ALEXANDRA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-14",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN26822",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02908100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JSUMC",
"identifier": "22-148-7576",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Neptune, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.