Dr. Jose Agustin Ravelo is a West New York, New Jersey based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jose Agustin Ravelo is
DI20448 for General Practice Dentistry in New Jersey. His current practice location is
5620 Bergenline Ave Ste 2, West New York. Patients can reach him at
201-861-9400.
Dr. Jose Agustin Ravelo is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Jose Agustin Ravelo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Jose Agustin Ravelo |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 5620 Bergenline Ave Ste 2, West New York,
New Jersey, 07093-1257 |
| Phone: | 201-861-9400 |
| Fax: | 201-861-9199 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
| NPI Number: | 1487601613 |
| NPI Enumeration Date: | 31 May, 2006 |
| NPI Last Update On: | 26 Jul, 2019 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jose Agustin Ravelo are as mentioned below.
| License Number | Specialization | State | Status | |
| DI20448 | General Practice Dentistry | New Jersey | Primary | |
| 046379-1 | Dentistry | New York | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jose Agustin Ravelo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 8453501 | Medicaid | New Jersey | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5620 Bergenline Ave Ste 2,
West New York, New Jersey |
| Zip: | 07093-1257 |
| Phone Number: | 201-861-9400 |
| Fax Number: | 201-861-9199 |
Patients can reach Dr. Jose Agustin Ravelo at
5620 Bergenline Ave Ste 2, West New York, New Jersey or can
call to book an appointment on 201-861-9400.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.