NPIMap

Organization Active NPI

Oliverie Dental LLC

  • Dental Clinic/Center
  • Wall, NJ
National Provider Identifier
1407179237
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DI20496 Issued in NJ
Legal business name
OLIVERIE DENTAL LLC
Practice address
1516 Hwy 138
Suite 1a
Wall, NJ 07719-3700
Phone
(732) 681-5544
NPI assigned
Mar 8, 2010
Last updated
Mar 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Authorized official

Name
Dr. Mary Oliverie, DMDNPI 1427030204
Title
Owner
Phone
(732) 681-5544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DI20496 NJ Primary

Addresses

Primary practice location

1516 Hwy 138
Suite 1a
Wall, NJ 07719-3700

Mailing address

1516 Hwy 138
Suite 1a
Wall, NJ 07719-3700
Phone (732) 681-5544

National Provider Directory

National Provider Directory

Locations

1516 Highway 138
Ste 1A
Wall Township, NJ 07719
Phone (732) 681-5544

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1407179237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 HWY 138",
            "address_2": "SUITE 1A",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "077193700",
            "telephone_number": "732-681-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 HWY 138",
            "address_2": "SUITE 1A",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "077193700",
            "telephone_number": "732-681-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVERIE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "OLIVERIE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-681-5544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "DI20496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.