NPIMap

Organization Active NPI

Old Bridge Dental Care

  • Dentist
  • Old Bridge, NJ
National Provider Identifier
1841569605
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI20783 Issued in NJ
Legal business name
OLD BRIDGE DENTAL CARE
Practice address
30 State Route 18
Old Bridge, NJ 08857-1420
Phone
(732) 257-5600
NPI assigned
Dec 23, 2011
Last updated
Oct 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Dr. Avi Weisfogel, DDSNPI 1003990581
Title
President
Phone
(732) 257-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DI20783 NJ Primary

Addresses

Primary practice location

30 State Route 18
Old Bridge, NJ 08857-1420

Mailing address

30 State Route 18
Old Bridge, NJ 08857-1420
Phone (732) 257-5600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1841569605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 STATE ROUTE 18",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571420",
            "telephone_number": "732-257-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 STATE ROUTE 18",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571420",
            "telephone_number": "732-257-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD BRIDGE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "WEISFOGEL",
        "authorized_official_first_name": "AVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-257-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI20783",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 3, 2012; 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.