Trina Ann Ruchelman, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI20884 Issued in NJ

Practice address

Highway RT. 34
Colts Neck, NJ 07722-0477

Phone

(732) 431-7577

Fax

(732) 431-8070

NPI assigned

Oct 25, 2006

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

Other identifiers 1

Other names 1

• Dr. Trina Ann Sulkowski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1356425474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CUTTER CT",
            "city": "CREAM RIDGE",
            "state": "NJ",
            "postal_code": "085141924",
            "telephone_number": "732-672-4864",
            "fax_number": "609-758-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY RT. 34",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077220477",
            "telephone_number": "732-431-7577",
            "fax_number": "732-431-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCHELMAN",
        "first_name": "TRINA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI20884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8584109",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRINA",
            "last_name": "SULKOWSKI",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christina Rizzolo
• Holly J Rolenc, M.D.
• Frosty Romano
• Harlene Joy Ross, LCSW
• Adria Rothfeld, D.C.
• Arthur Shawn Ruppert, PHYSICIAN ASSISTANT
• Theresa Josue Salcedo, MD
• Jose F Sanchez-Cruz, MD
• Rachel Schanck, MS CCC-SLP
• Robert J Schenk Jr., RPH

• General Practice Dentistry in Colts Neck, NJ
• Providers in Colts Neck, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.