Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jose Agustin Ravelo, DDS

Individual provider Dentist · NPI 1487601613

Dr. Jose Agustin Ravelo, DDS is a Dentist in West New York, New Jersey. Practices as a sole proprietor. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

5620 Bergenline Ave Ste 2
West New York, NJ 07093-1257
Phone: (201) 861-9400
Fax: (201) 861-9199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DI20448 (NJ)
Dentist Taxonomy 122300000X · Licence 046379-1 (NY)

Record details

NPI number1487601613
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 31, 2006
Last updated in NPPESJuly 26, 2019

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