Pablo Rene Acuna, D.D.S.
Individual provider Active NPI Dentist · North Plainfield, NJ
NPI 1285759308 · NPPES record last updated Mar 21, 2014
Key facts
- NPI
- 1285759308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 22DI02294900 (NJ)
- Practice address
- 116 Watchung Ave
North Plainfield, NJ 07060-4822 - Phone
- (908) 757-5244
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191016001914 | NJ | Order and Referring Only - Dentist |
8729319108 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New 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 |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02294900 | NJ | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02751320 | Medicaid | NY |
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All providers in North Plainfield, NJ · Dentist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.