NPIMap

Organization Active NPI

Rutgers Health Dental Associates Os-NWK

  • Oral and Maxillofacial Surgery (Dentist)
  • Newark, NJ
National Provider Identifier
1023766086
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
RUTGERS HEALTH DENTAL ASSOCIATES OS-NWK
Practice address
90 Bergen St # 7700
Newark, NJ 07103-2425
Phone
(973) 972-2444
Fax
(973) 972-2441
NPI assigned
Mar 17, 2022
Last updated
Mar 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rosemarie Vaccaro, MANAGEMENT
Title
Sr MGR Billing & Collections
Phone
(973) 972-8664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

90 Bergen St # 7700
Newark, NJ 07103-2425

Mailing address

90 Bergen St # 7700
Newark, NJ 07103-2425
Phone (973) 972-2444

National Provider Directory

National Provider Directory

Locations

90 Bergen St
#7700
Newark, NJ 07103
Phone (973) 972-2444

90 Bergen St
Ste 7704
Newark, NJ 07103

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 38

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1023766086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BERGEN ST # 7700",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032425",
            "telephone_number": "973-972-2444",
            "fax_number": "973-972-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BERGEN ST # 7700",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032425",
            "telephone_number": "973-972-2444",
            "fax_number": "973-972-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTGERS HEALTH DENTAL ASSOCIATES OS-NWK",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "VACCARO",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_title_or_position": "SR MGR BILLING & COLLECTIONS",
        "authorized_official_telephone_number": "973-972-8664",
        "authorized_official_credential": "MANAGEMENT"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.