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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.