Active NPI
David M. Rauch, DDS
- Oral and Maxillofacial Surgery (Dentist)
- New Brunswick, NJ
National Provider Identifier
1649243700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DI09531
- Practice address
- 109 Livingston Ave
New Brunswick, NJ 08901-2410 - Phone
- (732) 247-8083
- Fax
- (732) 247-1584
- NPI assigned
- Feb 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DI09531 | NJ | Primary |
Addresses
Primary practice location
109 Livingston Ave
New Brunswick, NJ 08901-2410
Mailing address
109 Livingston Ave
New Brunswick, NJ 08901-2410
Phone (732) 247-8083
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI09531 | NJ | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292889600000",
"number": "1649243700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 LIVINGSTON AVE",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089012410",
"telephone_number": "732-247-8083",
"fax_number": "732-247-1584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 LIVINGSTON AVE",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089012410",
"telephone_number": "732-247-8083",
"fax_number": "732-247-1584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUCH",
"first_name": "DAVID",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2010-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NJ",
"license": "DI09531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.