Individual provider Active NPI

Andrew Scott Whiteman, DDS

  • Dentist
  • Old Bridge, NJ
National Provider Identifier
1932272333
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19480 Issued in NJ
Practice address
2515 Hwy 516
Second Floor
Old Bridge, NJ 08857
Phone
(732) 679-3600
Fax
(732) 679-2801
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19480 NJ Primary

Addresses

Primary practice location

2515 Hwy 516
Second Floor
Old Bridge, NJ 08857

Mailing address

2515 Hwy 516
Second Floor
Old Bridge, NJ 08857
Phone (732) 679-3600

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
I20240903000081 NJ Practitioner - Dentist 4688991615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
New York University College of Dentistry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Team Dental Center PAGroup PAC ID 2365757259, 2 clinicians

Practice addresses (Care Compare)

2515 Hwy 516
Second Floor
Old Bridge, NJ 08857-1881

2515 Hwy 516 2
Old Bridge, NJ 08857

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19480NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Team Dental Center PA Dentist CurrentSince Jan 15, 1995 Accepting new patients

Locations

2515 Route 516
Fl Second
Old Bridge, NJ 08857
Phone (732) 679-3600

2515 Highway 516
Fl 2
Old Bridge, NJ 08857

Organizations & group practices 1

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932272333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 HWY 516",
            "address_2": "SECOND FLOOR",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "08857",
            "telephone_number": "732-679-3600",
            "fax_number": "732-679-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 HWY 516",
            "address_2": "SECOND FLOOR",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "08857",
            "telephone_number": "732-679-3600",
            "fax_number": "732-679-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEMAN",
        "first_name": "ANDREW",
        "middle_name": "SCOTT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "19480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.