Rudra Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

22D102564300 Issued in NJ

Legal business name

RUDRA DENTAL PC

Practice address

101 US Highway 46
Saddle Brook, NJ 07663-6220

Phone

(201) 880-7744

Fax

(201) 865-5626

NPI assigned

Feb 20, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Tejal Patel, DMD

Title

Owner

Phone

(973) 641-3446

Specialties & licenses 2

Addresses

Other names 1

• My Smile Dental Doing business as

Locations

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

{
    "created_epoch": "1455926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455926400000",
    "number": "1366801284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 US HIGHWAY 46",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076636220",
            "telephone_number": "201-880-7744",
            "fax_number": "201-865-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 US HIGHWAY 46",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076636220",
            "telephone_number": "201-880-7744",
            "fax_number": "201-865-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDRA DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-20",
        "last_updated": "2016-02-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TEJAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-641-3446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D102564300",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D102602300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leonora Rivera, M.D.
• Robust Supplies Corp
• Beth Rolland, OTR, CDRS
• Carmelo Romeo, LMHC
• Julie Roosma
• Elizabeth Ruiz
• Alexander Rumaczyk, D.C.
• Donna Ryan, LAC, NCC
• Kelly Marie Saba, NP-C
• Saddle Brook Anesthesia Associates

• Dentist in Saddle Brook, NJ
• Providers in Saddle Brook, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.