Individual provider Active NPI

Peter Louie, D.M.D.

  • General Practice Dentistry
  • Union, NJ
National Provider Identifier
1861512535
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01131700 Issued in NJ
Practice address
1205 Coolidge Ave
Union, NJ 07083-3720
Phone
(908) 686-2080
Fax
(908) 686-0793
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI01131700 NJ Primary

Addresses

Primary practice location

1205 Coolidge Ave
Union, NJ 07083-3720

Mailing address

1205 Coolidge Ave
Union, NJ 07083-3720
Phone (908) 686-2080

Other practice location 1

301 Lenox Ave
Westfield, NJ 07090-2137
Phone (908) 232-2136

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
I20180130000021 NJ Order and Referring Only - DentistPractitioner - Dentist 8022378702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Kids Dental PastSince Sep 12, 2021 Accepting new patients
Laser Dental Group of Westfield New Jersey PastSince Sep 5, 2023 Accepting new patients
The Laser Dental Group Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1861512535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 COOLIDGE AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833720",
            "telephone_number": "908-686-2080",
            "fax_number": "908-686-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 COOLIDGE AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833720",
            "telephone_number": "908-686-2080",
            "fax_number": "908-686-0793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Lenox Ave",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "NJ",
            "postal_code": "070902137",
            "country_code": "US",
            "telephone_number": "908-232-2136",
            "fax_number": "908-232-4032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUIE",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01131700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.