Active NPI
Eastern Dental of Ocean Monmouth, LLC
- Oral and Maxillofacial Surgery (Dentist)
- Brick, NJ
National Provider Identifier
1417005596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 10967
- Legal business name
- EASTERN DENTAL OF OCEAN MONMOUTH, LLC
- Practice address
- 2770 Hooper Ave
Brick, NJ 08723-4108 - Phone
- (732) 477-9200
- NPI assigned
- Jan 8, 2007
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mitchell Rubenstein, D.D.S
- Title
- Director
- Phone
- (732) 477-9200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14574 | NJ | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 10967 | NJ | Primary |
Addresses
Primary practice location
2770 Hooper Ave
Brick, NJ 08723-4108
Mailing address
1030 Saint Georges Ave
Avenel, NJ 07001-1390
National Provider Directory
National Provider Directory- Tax ID family
- Eastern Dental of Ocean Monmouth LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Brick, NJ
- NPI 1780130377
Locations
2770 Hooper Ave
Brick, NJ 08723
Phone (732) 477-9200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1417005596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 SAINT GEORGES AVE",
"city": "AVENEL",
"state": "NJ",
"postal_code": "070011390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2770 HOOPER AVE",
"city": "BRICK",
"state": "NJ",
"postal_code": "087234108",
"telephone_number": "732-477-9200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERN DENTAL OF OCEAN MONMOUTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-08",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "RUBENSTEIN",
"authorized_official_first_name": "MITCHELL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "732-477-9200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "14574",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NJ",
"license": "10967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brick, NJ
- Dzibela Optometrists, LLC
- E. David Morgan (Monmouth / Ocean Medical Service for Women)
- Kent A Eagelton
- Prema Eapen, MD
- Ear Nose Throat and Facial Plastic Surgery Associates PC
- Eastern Dental of Ocean/Monmouth, LLC
- Donna Ebberup Ciervo
- Michael Ralph Eberhardt, MS, PA-C, LAT, ATC
- Econo-Med Transportation Inc
- Artiom Daniel Efimenko, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.