Individual provider Active NPI

Maria Rhode, D.M.D.

  • General Practice Dentistry
  • Lawrenceville, NJ
National Provider Identifier
1396764502
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22D102191600 Issued in NJ
Practice address
3100 Princeton Pike
BLDG 2
Lawrenceville, NJ 08648-2300
Phone
(609) 896-0589
Fax
(609) 895-1591
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22D102191600 NJ Primary

Addresses

Primary practice location

3100 Princeton Pike
BLDG 2
Lawrenceville, NJ 08648-2300

Mailing address

3100 Princeton Pike
BLDG 2
Lawrenceville, NJ 08648-2300
Phone (609) 896-0589

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160114000145 NJ Order and Referring Only - DentistPractitioner - Dentist 8527360106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22D102191600NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Imagine Advanced Dental Arts PA General Practice Past Accepting new patients
Favorite Dentist, LLC General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396764502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 PRINCETON PIKE",
            "address_2": "BLDG 2",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482300",
            "telephone_number": "609-896-0589",
            "fax_number": "609-895-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 PRINCETON PIKE",
            "address_2": "BLDG 2",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482300",
            "telephone_number": "609-896-0589",
            "fax_number": "609-895-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODE",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D102191600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.