Rene Osuala, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02524501 Issued in NJ

Practice address

331 Valley Rd
West Orange, NJ 07052-5302

Phone

(973) 325-9800

NPI assigned

Feb 13, 2013

Sex

Male

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

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.

• Supreme Dental Associates, LLC

  • General Practice Dentistry
  • West Orange, NJ
  • NPI 1386795409
  NPD (past)

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1346589124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 VALLEY RD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525302",
            "telephone_number": "973-325-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 VALLEY RD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525302",
            "telephone_number": "973-325-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUALA",
        "first_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-13",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02524501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather P Osborn
• Paula Oshea, ANP
• Matthew Robert Oslislo
• Julia Osmanova
• Bedes Osuala, D.M.D.
• Otakar R Hubschmann MD PA
• Annetie Bosibori Ouko
• Our House, Inc.
• Outpatient USA
• Jacqueline A Owens, M.D.

• All providers in West Orange, NJ
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.