Individual provider Active NPI

Juan Jose Alvarez, D.M.D.

  • Dentist
  • Paterson, NJ
National Provider Identifier
1821265331
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI01854300 Issued in NJ
Practice address
227 Broadway
Paterson, NJ 07501-2002
Phone
(973) 278-2600
Fax
(973) 278-9251
NPI assigned
May 14, 2008
Last updated
Sep 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI01854300 NJ Primary

Addresses

Primary practice location

227 Broadway
Paterson, NJ 07501-2002

Mailing address

227 Broadway
Paterson, NJ 07501-2002
Phone (973) 278-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160630000307 NJ Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 8729370358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1821265331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012002",
            "telephone_number": "973-278-2600",
            "fax_number": "973-278-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012002",
            "telephone_number": "973-278-2600",
            "fax_number": "973-278-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "JUAN",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-14",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01854300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.