Individual provider Active NPI

Afreen Hoque, DDS

  • Pediatric Dentistry
  • Old Bridge, NJ
National Provider Identifier
1891040598
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
22D102495900 Issued in NJ
Practice address
2455 Route 516
Old Bridge, NJ 08857
Phone
(732) 679-2323
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 057269-1 NY
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 22D102495900 NJ Primary

Addresses

Primary practice location

2455 Route 516
Old Bridge, NJ 08857

Mailing address

2455 Route 516
Old Bridge, NJ 08857-1892
Phone (732) 679-2323

Other practice location 1

2455 Route 516
Old Bridge, NJ 08857
Phone (732) 679-2323

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

LicenseStateTypeSpecialty
22D102495900NJMDPediatric Dentist
057269-1NYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidzdent-Childrens Dental Care Past Accepting new patients
Kidzdent Childrens Dental Center LLC PastSince Jan 22, 2023 Accepting new patients

Organizations & group practices 2

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": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1891040598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 ROUTE 516",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571892",
            "telephone_number": "732-679-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 ROUTE 516",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "08857",
            "telephone_number": "732-679-2323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2455 Route 516",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "08857",
            "country_code": "US",
            "telephone_number": "732-679-2323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOQUE",
        "first_name": "AFREEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "057269-1",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22D102495900",
            "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 Mar 21, 2019; 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.