Individual provider Active NPI

Jamea R. Olivari

  • General Practice Dentistry
  • Wood Ridge, NJ
National Provider Identifier
1568600443
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI15131 Issued in NJ
Practice address
163 Valley Blouevard
Wood Ridge, NJ 07075
Phone
(201) 939-8181
NPI assigned
Jan 30, 2009
Last updated
Jan 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI15131 NJ Primary

Addresses

Primary practice location

163 Valley Blouevard
Wood Ridge, NJ 07075

Mailing address

163 Valley Blvd
Wood Ridge, NJ 07075-2003
Phone (201) 939-8181

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

LicenseStateTypeSpecialty
DI15131NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
James R Olivari DMD PA Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1568600443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 VALLEY BLVD",
            "city": "WOOD RIDGE",
            "state": "NJ",
            "postal_code": "070752003",
            "telephone_number": "201-939-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 VALLEY BLOUEVARD",
            "city": "WOOD RIDGE",
            "state": "NJ",
            "postal_code": "07075",
            "telephone_number": "201-939-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVARI",
        "first_name": "JAMEA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI15131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wood Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.