Active NPI
Michael Bruce Rulnick, DMD
- Pediatric Dentistry
- Vineland, NJ
National Provider Identifier
1114002177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D10561
- Practice address
- 1450 E Chestnut Ave
Suite 6 C
Vineland, NJ 08361-8467 - Phone
- (856) 696-5400
- Fax
- (856) 696-5867
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | D10561 | NJ | Primary |
Addresses
Primary practice location
1450 E Chestnut Ave
Suite 6 C
Vineland, NJ 08361-8467
Mailing address
1450 E Chestnut Ave
Suite 6 C
Vineland, NJ 08361-8467
Phone (856) 696-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D0000071700 | Other | NJ | AMERICHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D10561 | NJ | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Michael B. Rulnick D.M.D. P.C | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- Vineland, NJ
- NPI 1467811257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456099200000",
"number": "1114002177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 E CHESTNUT AVE",
"address_2": "SUITE 6 C",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083618467",
"telephone_number": "856-696-5400",
"fax_number": "856-696-5867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 E CHESTNUT AVE",
"address_2": "SUITE 6 C",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083618467",
"telephone_number": "856-696-5400",
"fax_number": "856-696-5867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RULNICK",
"first_name": "MICHAEL",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2016-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "D10561",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "D0000071700",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.