Nicole Natalie Slezak, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02928800 Issued in NJ

Practice address

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

Phone

(732) 582-4224

NPI assigned

Mar 26, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• White Oak Dental NJ LLC

  • Dentist
  • Avenel, NJ
  • NPI 1609552009
  NPD
• Thomas C Streko DMD PC

  • Dental Clinic/Center
  • Westfield, NJ
  • NPI 1588901375
  NPD (past)

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1689179228",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEZAK",
        "first_name": "NICOLE",
        "middle_name": "NATALIE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019032067",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02928800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Joseph Shypula, MD
• Muhammad Siddique, MD
• Mark Singer, M.D.
• Prabhjot Singh, DDS
• Mark Skrzypczak, M.D.
• Jason Slomovitz, D.M.D
• Tomika Smith-Howard
• Jeremy Sommer, PA-C
• Robert E Soyka, DMD
• Speaking Out Speech and Language Services LLC

• General Practice Dentistry in Avenel, NJ
• Providers in Avenel, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.