DR. JOSE AGUSTIN RAVELO DDS
NPI 1487601613
Dentist - General Practice in West New York, NJ

Q: What is Jose Ravelo's NPI number?

The NPI number for Jose Ravelo is 1487601613. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Q: What is Jose Ravelo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jose Ravelo was last updated on July 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 31, 2006

5620 BERGENLINE AVE STE 2, WEST NEW YORK, NJ 07093(201) 861-9400(201) 861-9199 Get Directions Write a Review

NPPES record last updated: July 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jose Agustin Ravelo Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSE AGUSTIN RAVELO DDS (NPI 1487601613) is an individual general practice provider in West New York, New Jersey, licensed in New Jersey (DI20448) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1487601613

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JOSE AGUSTIN RAVELOCredential: DDS

Location Address5620 BERGENLINE AVE STE 2West New York, NJ 07093-1257

Mailing Address5620 Bergenline Ave Ste 2West New York, NJ 07093-1257 · (201) 861-9400 · Fax (201) 861-9199

Phone(201) 861-9400

Fax(201) 861-9199

Sole ProprietorYes

Enumeration DateMay 31, 2006

Last NPPES UpdateJuly 26, 2019

✔ NPI 1487601613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NJ · DI20448

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License 046379-1 (NY)

5620 BERGENLINE AVE STE 2, West New York, NJ 07093

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Other Identifiers 1

Medicaid8453501NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Ravelo's NPI number?

The NPI number for Jose Ravelo is 1487601613. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Jose Ravelo located?

Jose Ravelo practices at 5620 Bergenline Ave Ste 2, West New York, NJ 07093. The listed phone number is (201) 861-9400.

What is Jose Ravelo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jose Ravelo accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Jose Ravelo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jose Ravelo was last updated on July 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.