Individual provider Active NPI

Peter Rymer, DDS

  • General Practice Dentistry
  • Hillsdale, NJ
National Provider Identifier
1467591875
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DIO17179 Issued in NJ
Practice address
98 Broadway
Hillsdale, NJ 07642-2716
Phone
(201) 664-8316
Fax
(201) 664-6362
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
Yes

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 DIO17179 NJ Primary

Addresses

Primary practice location

98 Broadway
Hillsdale, NJ 07642-2716

Mailing address

98 Broadway
Hillsdale, NJ 07642-2716
Phone (201) 664-8316

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
I20160518000273 NJ Order and Referring Only - DentistPractitioner - Dentist 3678862448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DIO17179NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kedar a. Gokhale, M.D., LLC Past Accepting new patients

Organizations & group practices 1

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467591875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 BROADWAY",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076422716",
            "telephone_number": "201-664-8316",
            "fax_number": "201-664-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 BROADWAY",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076422716",
            "telephone_number": "201-664-8316",
            "fax_number": "201-664-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYMER",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DIO17179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, NJ

Sources for this page

Verify at the official NPI Registry.