| Dr Jose Agustin Ravelo, DDS | |
|
5620 Bergenline Ave Ste 2, West New York, NJ 07093-1257 | |
| (201) 861-9400 | |
| (201) 861-9199 |
| Full Name | Dr Jose Agustin Ravelo |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 5620 Bergenline Ave Ste 2, West New York, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487601613 | NPI | - | NPPES |
| 8453501 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 046379-1 (New York) | Secondary |
| 1223G0001X | Dentist - General Practice | DI20448 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jose Agustin Ravelo, DDS 5620 Bergenline Ave Ste 2, West New York, NJ 07093-1257 Ph: (201) 861-9400 | Dr Jose Agustin Ravelo, DDS 5620 Bergenline Ave Ste 2, West New York, NJ 07093-1257 Ph: (201) 861-9400 |
Katy Triana Martinez, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 6030 Monroe Pl Apt 301, West New York, NJ 07093 Phone: 832-798-8381 | |
Mr. Lonnie Bruce Hall I, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 329 60th St, West New York, NJ 07093 Phone: 201-868-0070 Fax: 201-869-4030 | |
Ramon E. Batista, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5700 Bergenline Ave, 2floor, West New York, NJ 07093 Phone: 201-295-9700 Fax: 201-295-3141 | |
Santvana Vyas, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6020 Broadway, Fl#2, West New York, NJ 07093 Phone: 484-548-4687 | |
Dr. Melanie Mcpherson Doom, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 22 Ave At Port Imperial Apt 311, West New York, NJ 07093 Phone: 917-446-7411 | |
Dr. Camilo R Solar, Dentist Medicare: Not Enrolled in Medicare Practice Location: 421 59th St, West New York, NJ 07093 Phone: 201-869-3407 Fax: 201-869-3407 | |
Dr. Nomi Isaacs, DDS Dentist Medicare: Medicare Enrolled Practice Location: 30 Ave At Port Imperial, #210, West New York, NJ 07093 Phone: 818-326-0163 |