Eastern Dental of Ocean/Monmouth, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

EASTERN DENTAL OF OCEAN/MONMOUTH, LLC

Practice address

2770 Hooper Ave., Unit 4
Brick, NJ 08723

Phone

(732) 477-9200

NPI assigned

Sep 1, 2016

Last updated

Sep 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Mucciariello

Title

Credentialing Specialist

Phone

(732) 750-0707

Specialties & licenses 1

Addresses

Tax ID family

Eastern Dental of Ocean Monmouth LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eastern Dental of Ocean Monmouth, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Brick, NJ
  • NPI 1417005596
  NPD tax ID

Locations

Practitioners 1

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.

• Mitchell Rubenstein, D.D.S

  • General Practice Dentistry
  • Brick, NJ
  • NPI 1285760439
  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1780130377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 HOOPER AVE., UNIT 4",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "08723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 HOOPER AVE., UNIT 4",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "08723",
            "telephone_number": "732-477-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN DENTAL OF OCEAN/MONMOUTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "MUCCIARIELLO",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "732-750-0707"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Fred John Ehret III

• Dentist in Brick, NJ
• Providers in Brick, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.