Individual provider Active NPI

Pablo Rene Acuna, D.D.S.

  • Dentist
  • North Plainfield, NJ
National Provider Identifier
1285759308
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02294900 Issued in NJ
Practice address
116 Watchung Ave
North Plainfield, NJ 07060-4822
Phone
(908) 757-5244
NPI assigned
Mar 20, 2007
Last updated
Mar 21, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02294900 NJ Primary

Addresses

Primary practice location

116 Watchung Ave
North Plainfield, NJ 07060-4822

Mailing address

116 Watchung Ave
North Plainfield, NJ 07060-4822
Phone (908) 757-5244

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191016001914 NJ Order and Referring Only - DentistPractitioner - Dentist 8729319108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pablo Acuna Dental Group, LLC Current Accepting new patients
Saint Vicent's Dental Center Dentist Past Accepting new patients
North Hudson Community Action Corporation Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1285759308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 WATCHUNG AVE",
            "city": "NORTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070604822",
            "telephone_number": "908-757-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 WATCHUNG AVE",
            "city": "NORTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070604822",
            "telephone_number": "908-757-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACUNA",
        "first_name": "PABLO",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02294900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.