Juan Jose Alvarez, D.M.D.
Individual provider Active NPI Dentist · Paterson, NJ
NPI 1821265331 · NPPES record last updated Sep 26, 2012
Key facts
- NPI
- 1821265331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 22DI01854300 (NJ)
- Practice address
- 227 Broadway
Paterson, NJ 07501-2002 - Phone
- (973) 278-2600
- Fax
- (973) 278-9251
- NPI assigned
- May 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160630000307 | NJ | Order and Referring Only - Other (Physician) |
8729370358 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI01854300 | NJ | Yes |
Addresses
Primary practice location
227 Broadway
Paterson, NJ 07501-2002
Mailing address
227 Broadway
Paterson, NJ 07501-2002
Phone (973) 278-2600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6686702 | Medicaid | NJ |
Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.