Richard A Pertes, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22DI00666500 Issued in NJ

Practice address

NJ Dental School Div of Oral Medicine
110 Bergen St. RM D881
Newark, NJ 07103

Phone

(973) 972-0214

NPI assigned

Mar 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rutgers School of Dental Medicine

  • Dental Clinic/Center
  • Newark, NJ
  • NPI 1073712543
  NPD (past)
• Rutgers School of Dental Medicine

  • Dental Clinic/Center
  • Newark, NJ
  • NPI 1487853248
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043338759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13636 MOROCCA LAKE LN",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463786",
            "telephone_number": "561-495-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NJ DENTAL SCHOOL DIV OF ORAL MEDICINE",
            "address_2": "110 BERGEN ST. RM D881",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07103",
            "telephone_number": "973-972-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERTES",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI00666500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Perhac, MS OT
• Louis J Perl, MD
• Chris Tonya Pernell, M.D., MPH
• Sarah Elizabeth Perry
• Personalized Home Care, LTD. of N.J.
• Sarah Perwien
• Raymond John Pesenti, MD
• Courtney Peshkovsky, MD
• Peter Hoe Clinic @SMMC
• Uchenna I. Peter-Okaka, MD

• Dentist in Newark, NJ
• Providers in Newark, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.