NPIMap

Organization Active NPI

White Oak Dental NJ LLC

  • Dentist
  • Avenel, NJ
National Provider Identifier
1609552009
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WHITE OAK DENTAL NJ LLC
Practice address
1040 US Highway 1 Ste 103
Avenel, NJ 07001-1539
Phone
(732) 582-4224
Fax
(732) 582-4211
NPI assigned
Jun 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Dr. Alvin Aquino, DMDNPI 1164818548
Title
Ceo
Phone
(732) 582-4224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

1040 US Highway 1 Ste 103
Avenel, NJ 07001-1539

Mailing address

1040 US Highway 1 Ste 103
Avenel, NJ 07001-1539
Phone (732) 582-4224

Other names 1

  • White Oak Dental & Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1040 US Highway 1
Ste 103
Avenel, NJ 07001
Phone (732) 582-4224

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1609552009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 US HIGHWAY 1 STE 103",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011539",
            "telephone_number": "732-582-4224",
            "fax_number": "732-582-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 US HIGHWAY 1 STE 103",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011539",
            "telephone_number": "732-582-4224",
            "fax_number": "732-582-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK DENTAL NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-582-4224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Oak Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avenel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.

Verify at the official NPI Registry.