Active NPI
Rachel Elice
- Dentist
- Ocean, NJ
National Provider Identifier
1841940657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22D102922800
- Practice address
- 3200 Sunset Ave Ste 104
Ocean, NJ 07712-4556 - Phone
- (732) 988-7645
- NPI assigned
- Mar 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 22D102922800 | NJ | Primary |
Addresses
Primary practice location
3200 Sunset Ave Ste 104
Ocean, NJ 07712-4556
Mailing address
3200 Sunset Ave Ste 104
Ocean, NJ 07712-4556
Phone (732) 988-7645
Other practice location 1
22 Main St
Eatontown, NJ 07724-3432
Phone (732) 542-2326
Other practice location 2
101 Avenue Of Two Rivers
Rumson, NJ 07760-1703
Phone (732) 530-1400
Other practice location 3
1945 State Route 33
Neptune, NJ 07753-4859
Phone (732) 775-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22D102922800 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1841940657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 SUNSET AVE STE 104",
"city": "OCEAN",
"state": "NJ",
"postal_code": "077124556",
"telephone_number": "732-988-7645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 SUNSET AVE STE 104",
"city": "OCEAN",
"state": "NJ",
"postal_code": "077124556",
"telephone_number": "732-988-7645"
}
],
"practiceLocations": [
{
"address_1": "22 Main St",
"address_purpose": "LOCATION",
"city": "Eatontown",
"state": "NJ",
"postal_code": "077243432",
"country_code": "US",
"telephone_number": "732-542-2326",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Avenue Of Two Rivers",
"address_purpose": "LOCATION",
"city": "Rumson",
"state": "NJ",
"postal_code": "077601703",
"country_code": "US",
"telephone_number": "732-530-1400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1945 State Route 33",
"address_purpose": "LOCATION",
"city": "Neptune",
"state": "NJ",
"postal_code": "077534859",
"country_code": "US",
"telephone_number": "732-775-5500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELICE",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-25",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22D102922800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocean, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.