Individual provider Active NPI

Rui Sergio Seu, DDS

  • Dentist
  • Westfield, NJ
National Provider Identifier
1528108685
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI20795 Issued in NJ
Practice address
924 South Ave W
Westfield, NJ 07090
Phone
(908) 789-2220
Fax
(908) 789-1232
NPI assigned
Feb 7, 2007
Last updated
Sep 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DI20795 NJ Primary

Addresses

Primary practice location

924 South Ave W
Westfield, NJ 07090

Mailing address

40 Possum Way
New Providence, NJ 07974-1214
Phone (908) 898-1411

Other practice location 1

505 Chestnut St
Roselle Park, NJ 07204-1927
Phone (908) 241-2220

Other practice location 2

505 Chestnut St
Roselle Park, NJ 07204-1927
Phone (908) 241-2220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 14, 2025 through Nov 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DI20795NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rui Sergio Seu DDS PC Dentist CurrentSince Sep 29, 2019 Accepting new patients

Locations

505 Chestnut St
Roselle Park, NJ 07204
Phone (908) 241-0200

924 South Ave W
Westfield, NJ 07090
Phone (908) 789-2220

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1528108685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 POSSUM WAY",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741214",
            "telephone_number": "908-898-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 SOUTH AVE W",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "07090",
            "telephone_number": "908-789-2220",
            "fax_number": "908-789-1232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Roselle Park",
            "state": "NJ",
            "postal_code": "072041927",
            "country_code": "US",
            "telephone_number": "908-241-2220",
            "fax_number": "908-241-1232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Roselle Park",
            "state": "NJ",
            "postal_code": "072041927",
            "country_code": "US",
            "telephone_number": "908-241-2220",
            "fax_number": "908-241-1232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEU",
        "first_name": "RUI",
        "middle_name": "SERGIO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI20795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

Verify at the official NPI Registry.