OrganizationActive
Eastern Periodontic Associates, LLC
NPI 1093876658 · Periodontics · Avenel, NJ
Eastern Periodontic Associates, LLC is a Periodontics organization in Avenel, NJ (NPI 1093876658).
Provider details
- NPI number
- 1093876658
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Aaron Prestup, Director of Periodontics(732) 750-3600
- License
- 09460 (NJ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1030 Saint Georges Ave
Avenel, NJ 07001-1390
Phone: (732) 750-3600
Fax: (732) 750-3696
Street-level locationGet directions
Mailing address
1030 Saint Georges Ave
Avenel, NJ 07001-1390
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2020-08-22
Frequently asked questions
- What is Eastern Periodontic Associates, LLC's NPI number?
- Eastern Periodontic Associates, LLC's National Provider Identifier (NPI) is 1093876658, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastern Periodontic Associates, LLC?
- Eastern Periodontic Associates, LLC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Eastern Periodontic Associates, LLC located?
- Eastern Periodontic Associates, LLC's practice location on file with NPPES is 1030 Saint Georges Ave, Avenel, NJ 07001-1390.
- What is Eastern Periodontic Associates, LLC's phone number?
- The practice phone number listed in the NPPES registry for Eastern Periodontic Associates, LLC is (732) 750-3600.
- Who is the authorized official for Eastern Periodontic Associates, LLC?
- The authorized official listed on Eastern Periodontic Associates, LLC's NPPES record is Aaron Prestup, Director of Periodontics. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastern Periodontic Associates, LLC's NPI active?
- Yes — Eastern Periodontic Associates, LLC's NPI (1093876658) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.