Active NPIOrganization

Rutgers Health -University Dental Associates

Dentist, Endodontics in Newark, New Jersey

NPI Number1346454584
Practice location
90 Bergen St, Suite 7700, Newark, NJ 07103-2425
Fax
973-972-2441
Last updated
July 14, 2017

Rutgers Health -University Dental Associates is a healthcare organization based in Newark, NJ. Rutgers Health -University Dental Associates practices in Newark, NJ. The NPI Number for Rutgers Health -University Dental Associates is 1346454584 and holds a License No. 22DI01997900 (NJ). The current practice location address for Rutgers Health -University Dental Associates is 90 Bergen St, Suite 7700, Newark, NJ 07103-2425 and can be reached out via phone at 973-972-2444 and via fax at 973-972-2441.

Provider Profile Details

NPI Number
1346454584
Provider Name
Rutgers Health -University Dental Associates
Provider Entity Type
Organization
Address
90 Bergen St, Suite 7700, Newark, NJ 07103-2425
Phone Number
973-972-2444
Fax Number
973-972-2441
Primary Taxonomy
Dentist, Endodontics · 1223E0200X
Organization Subpart
No
Authorized Official
Dr. Vicente H Gracias, MD · President · 732-235-7631
Other Names
Rutgers Health Group (Other Name)
Provider Enumeration Date
May 9, 2007
Last Update Date
July 14, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
90 Bergen St
Suite 7700
Newark, NJ 07103-2425
City
Newark
Zip
07103-2425
Phone Number
973-972-2444
Fax Number
973-972-2441
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
90 Bergen St
Suite 7700
Newark, NJ 07103-2425
City
Newark
State
NJ
Zip
07103-2425
Phone Number
973-972-8668
Fax Number
973-972-2441

License Information

Taxonomy (1)
Dentist, General Practice · 1223G0001X
Taxonomy (2)
Dentist, Periodontics · 1223P0300X
Taxonomy (3)
Dentist, Prosthodontics · 1223P0700X
Taxonomy (4)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
License Number (5)
22DI01997900
License State (5)
NJ
Taxonomy (5)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Taxonomy (7)
Dental Hygienist · 124Q00000X
Taxonomy (8)
Dental Assistant · 126800000X
Taxonomy (9)
Dentist, Endodontics · 1223E0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Rutgers Health -University Dental Associates?

The NPI number of Rutgers Health -University Dental Associates is 1346454584. It was assigned on May 9, 2007 and is currently active in the NPPES registry.

What is the specialty of Rutgers Health -University Dental Associates?

Rutgers Health -University Dental Associates is registered under the primary taxonomy Dentist, Endodontics (code 1223E0200X), licensed in NJ under license number 22DI01997900.

Where does Rutgers Health -University Dental Associates practice?

The practice location is 90 Bergen St, Suite 7700, Newark, NJ 07103-2425. The office can be reached at 973-972-2444 (phone) or 973-972-2441 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346454584 directly on the NPPES registry website.

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