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NPI 1528557063ActiveOrganization· Dentist· Lakewood, NJ
Dentist in Lakewood, New Jersey, registered in NPPES in May 2018, part of Dental Associates of Lakewood. The authorized official on file is Andre Shivrattan, Credentialing Specialist.
Overview
| NPI | 1528557063 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dental Associates of Lakewood |
| NPI issued | May 9, 2018 |
| Last updated in NPPES | May 9, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 22DI01842800 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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