DR. AVI WILLIS (NPI# 1942681069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942681069 |
| Entity Type | Individual |
| Full Name | DR. AVI WILLIS |
| Credential | DMD, MAST |
| Practice Address |
870 River Ave Lakewood NJ 08701-5280 |
| Practice Telephone | 7323703700 |
| Mailing Telephone | 5703320689 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2019-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
22DI02765200 | NJ | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DS040383 | PA | Dental Providers |
| Street Address |
870 RIVER AVE |
| City | LAKEWOOD |
| State | NJ |
| Zip Code | 08701-5280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851471007 | Ocean County Family Care | Durable Medical Equipment & Medical Supplies | 870 River Ave, Lakewood, NJ 08701-5220 | 2006-10-16 |
| 1629579735 | Katheryn Goldman | Dentist | 870 River Ave, Lakewood, NJ 08701-5280 | 2018-02-23 |
| 1033618640 | Jonathan Matthew Ang | Dentist | 870 River Ave, Lakewood, NJ 08701-5280 | 2018-02-09 |
| 1942555610 | Jenna Winokur | Dentist | 870 River Ave, Lakewood, NJ 08701-5280 | 2012-07-19 |
| 1730330663 | Nj Dentistry for Children, P.a. | Dentist | 870 River Ave, Lakewood, NJ 08701-5220 | 2008-10-09 |
| 1043382989 | Kenneth Pavlinec | Physical Therapist | 870 River Ave, Lakewood, NJ 08701-5220 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787393 | Sky Care Aba LLC | Social Worker | 41 Carasaljo Drive, Lakewood, NJ 08701 | 2020-07-20 |
| 1487276325 | Teresa Rose Alvarez | Counselor | 1215 Nj-70 W, Lakewood, NJ 08701 | 2020-05-14 |
| 1417588468 | Miriam Pelberg | Behavioral Analyst | 519 Second St., Lakewood, NJ 08701 | 2020-01-29 |
| 1639700529 | Rivky Parnes | Occupational Therapy Assistant | 110 Hillside Bullivard, Lakewood, NJ 08701 | 2020-01-29 |
| 1659910172 | Esther Gold | Behavioral Analyst | 611 Stirling Ave A, Lakewood Township, NJ 08701 | 2020-01-01 |
| 1649816323 | Julie Mcculley | Orthotist | 1353 River Ave Suite #4, Lakewood, NJ 08701 | 2019-11-18 |
| 1356990782 | Lucy Dimeglio | Technician | 17 Amberlands Court, Lakewood, NJ 08701 | 2019-09-09 |
| 1992262299 | Miriam Lichtschein | Speech-Language Pathologist | 1439 South Street, Lakewood, NJ 08701 | 2019-02-23 |
| 1407326531 | Achievements Early Intervention Services | Community/Behavioral Health | 85a Gladiola Ct, Lakewood, NJ 08701 | 2018-12-02 |
| 1871062224 | Ms Optical LLC | Eyewear Supplier (Equipment, not the service) | 12 America Ave, 1a, Lakewood, NJ 08701 | 2018-11-15 |
| Find all providers in zip 08701 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225575566 | Babak Yousefi Dental Corporation | Dentist | 4134 Woodruff Ave, Lakewood, CA 90713-3141 | 2017-01-25 |
| 1356762918 | Pediatric Dental Group At Kids First | Dentist | 96 Wadsworth Blvd Unit 150, Lakewood, CO 80226-1512 | 2013-12-30 |
| 1720214638 | Pediatric Dental Group of Lakewood | Dentist | 3333 S Wadsworth Blvd Unit B104, Lakewood, CO 80227-5120 | 2009-06-05 |
| 1528186137 | Daniel H. Cook | Dentist | 6015 100th St Sw, Lakewood, WA 98499-2754 | 2007-03-26 |
| 1417059478 | Jan Ray Carlson | Dentist | 133 E Fairmount Ave Ste 1, Lakewood, NY 14750-1950 | 2006-09-01 |
| 1104892421 | Brett Wohlstetter | Dentist | 1328 Route 9, Lakewood, NJ 08701-5645 | 2006-02-27 |
| 1639155336 | Lakewood Pediatric Dental Associates | Dentist | 1328 Route 9 South, Suite 11 & 12, Lakewood, NJ 08701-5645 | 2005-12-15 |
| 1417499500 | Lakewood Pediatric Dentistry Pllc | Dentist | 133 E Fairmount Ave Ste 1, Lakewood, NY 14750-1950 | 2016-11-07 |
| 1841619210 | Aleem Noormohamed | Dentist | 6015 100th St Sw, Lakewood, WA 98499 | 2014-04-14 |
| 1215179148 | Children's Dental Center | Dentist | 2323 S Wadsworth Blvd, Suite # 104, Lakewood, CO 80227-3275 | 2009-03-24 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.