Jodi Rachmelowitz, D.M.D., L.L.C.

Primary specialty

DentistTaxonomy code 122300000X

License

22DI1913700 Issued in NJ

Practice address

1540 Hwy 138
BLDG 2, Suite #205
Wall, NJ 07719-3763

Phone

(732) 556-0505

NPI assigned

Feb 26, 2008

Sex

Female

Sole proprietor

No

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

Enrolled in NJ

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1124297098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 HWY 138",
            "address_2": "BLDG 2, SUITE #205",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "077193763",
            "telephone_number": "732-556-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 HWY 138",
            "address_2": "BLDG 2, SUITE #205",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "077193763",
            "telephone_number": "732-556-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACHMELOWITZ",
        "first_name": "JODI",
        "name_prefix": "Dr.",
        "credential": "D.M.D., L.L.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI1913700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.