Michael Ottaviano, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI02689500 Issued in NJ

Practice address

1828 W Lake Ave
Neptune, NJ 07753-4663

Phone

(732) 869-5716

NPI assigned

Aug 30, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• M Ottaviano LLC

  • General Practice Dentistry
  • West Long Branch, NJ
  • NPI 1730029372
  NPD Authorized official
• Daniel a Walenjus DDS PA

  • General Practice Dentistry
  • Manasquan, NJ
  • NPI 1558130583
  NPD (past)

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1801313820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 WALL ST",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 W LAKE AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534663",
            "telephone_number": "732-869-5716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 Union Ave",
            "address_purpose": "LOCATION",
            "city": "Manasquan",
            "state": "NJ",
            "postal_code": "087363648",
            "country_code": "US",
            "telephone_number": "732-528-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTTAVIANO",
        "first_name": "MICHAEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-30",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI02689500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Oppegaard, MD
• James F Orlando, M.D.
• Evan Orosz, DO
• Melissa L. Osofsky, APN
• Kimbreya Elese Otey, APN
• Taylor Jeanne Ouellette
• Pain Institute of New Jersey, PA
• Ashlee Paknis, PA-C
• Harpreet Pall, MD
• Charles Narayan Palmer, MD

• General Practice Dentistry in Neptune, NJ
• Providers in Neptune, 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 Sep 29, 2025; 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.