Richard Nejat, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DI20033 Issued in NJ

Practice address

230 Centre St
Nutley, NJ 07110

Phone

(973) 661-2992

Fax

(973) 661-3513

NPI assigned

Sep 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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.

• Rockefeller Dentistry PLLC

  • Periodontics
  • New York, NY
  • NPI 1659770972
  NPD (past) Authorized official
• Periollp

  dba Advanced Periodontics

  • Periodontics
  • Nutley, NJ
  • NPI 1346541885
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356445050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CENTRE ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "07110",
            "telephone_number": "973-661-2992",
            "fax_number": "973-661-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CENTRE ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "07110",
            "telephone_number": "973-661-2992",
            "fax_number": "973-661-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEJAT",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "DI20033",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "047153",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Patricia Munoz-Torres, LPC, LAAT, ATR-BC
• Julia Muscat
• David Martin Musselman, M.D.
• Akshaya Nayak
• Lisette Negron, LSW
• New Brighter Smiles Dental LLC
• New Jersey CVS Pharmacy LLC (CVS Pharmacy 01158)
• New Life Medical PC
• Matthew Nicastro
• Nicholas F. Stabile, DC, PC (Family Chiropractic Center of Nutley)

• Periodontics in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.