Active NPIIndividual providerSole proprietor

Dr. John E Aversa, DMD

Dentist, General Practice in Waldwick, New Jersey

NPI Number1194845610
Practice location
39 E Prospect St, Waldwick, NJ 07463-2009
Fax
201-652-2479
Last updated
July 8, 2007

John Edward Aversa is a Dentist, General Practice based in Waldwick, NJ. John Edward Aversa practices in Waldwick, NJ and has the professional credentials of DMD. The NPI Number for John Edward Aversa is 1194845610 and holds a License No. 22DI01574400 (NJ). The current practice location address for John Edward Aversa is 39 E Prospect St, Waldwick, NJ 07463-2009 and can be reached out via phone at 201-652-5499 and via fax at 201-652-2479.

Provider Profile Details

NPI Number
1194845610
Provider Name
John Edward Aversa
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
39 E Prospect St, Waldwick, NJ 07463-2009
Phone Number
201-652-5499
Fax Number
201-652-2479
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
March 29, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
39 E Prospect St
Waldwick, NJ 07463-2009
Zip
07463-2009
Phone Number
201-652-5499
Fax Number
201-652-2479
Waldwick, NJ 07463Get directions →

Provider Business Mailing Address Details

Address
39 E Prospect St
Waldwick, NJ 07463-2009
City
Waldwick
State
NJ
Zip
07463-2009
Phone Number
201-652-5499
Fax Number
201-652-2479

License Information

License Number
22DI01574400
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. John E Aversa, DMD?

The NPI number of Dr. John E Aversa, DMD is 1194845610. It was assigned on March 29, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. John E Aversa, DMD?

Dr. John E Aversa, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI01574400.

Where does Dr. John E Aversa, DMD practice?

The practice location is 39 E Prospect St, Waldwick, NJ 07463-2009. The office can be reached at 201-652-5499 (phone) or 201-652-2479 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194845610 directly on the NPPES registry website.

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