Organization Active NPI

Gerald J Whiteman DDS PA

  • Dentist
  • Old Bridge, NJ
National Provider Identifier
1740367317
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22D100767800 Issued in NJ
Legal business name
GERALD J WHITEMAN DDS PA
Practice address
2515 Highway 516
Old Bridge, NJ 08857
Phone
(732) 679-3600
Fax
(732) 679-2801
NPI assigned
Nov 1, 2006
Last updated
Aug 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Dr. Gerald Jay Whiteman, DDSNPI 1821191982
Title
President
Phone
(732) 679-3600

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22D100767800 NJ Primary

Addresses

Primary practice location

2515 Highway 516
Old Bridge, NJ 08857

Mailing address

2515 Highway 516
Old Bridge, NJ 08857
Phone (732) 679-3600

Other identifiers 1

IdentifierTypeStateIssuer
3468607MedicaidNJ

National Provider Directory

National Provider Directory

Locations

2515 Route 516
Old Bridge, NJ 08857
Phone (732) 607-0909

Practitioners & affiliated clinicians

Practitioners 2

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1740367317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 HIGHWAY 516",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "08857",
            "telephone_number": "732-679-3600",
            "fax_number": "732-679-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 HIGHWAY 516",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "08857",
            "telephone_number": "732-679-3600",
            "fax_number": "732-679-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD J WHITEMAN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "WHITEMAN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-679-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D100767800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3468607",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.