NPIMap

Organization Active NPI

NJ Team Dental Center PA

  • Dentist
  • Old Bridge, NJ
National Provider Identifier
1942396833
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NJ TEAM DENTAL CENTER PA
Practice address
2515 Hwy 516
Old Bridge, NJ 08857
Phone
(732) 679-3600
Fax
(732) 679-2801
NPI assigned
Oct 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Andrew Scott Whiteman, DDSNPI 1932272333
Title
President / Dentist
Phone
(732) 679-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2515 Hwy 516
Old Bridge, NJ 08857

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150821013092 NJ Part B Supplier - Clinic/Group Practice 2365757259 Receives reassigned benefits from 4 practitioners
Practice locations: Old Bridge, NJ

National Provider Directory

National Provider Directory

Locations

2029 Lemoine Ave
Fort Lee, NJ 07024

180 Ramapo Valley Rd
Oakland, NJ 07436
Phone (201) 337-3797

2515 Highway 516
Ste 2
Old Bridge, NJ 08857
Phone (732) 679-3600

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

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942396833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 HWY 516",
            "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",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "08857",
            "telephone_number": "732-679-3600",
            "fax_number": "732-679-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ TEAM DENTAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITEMAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT / DENTIST",
        "authorized_official_telephone_number": "732-679-3600",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.