Active NPI
William G Ranucci, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Montclair, NJ
National Provider Identifier
1720295017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- D1017058
- Practice address
- 54 Plymouth St
Montclair, NJ 07042-2137 - Phone
- (973) 746-3466
- NPI assigned
- May 17, 2007
- 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 | D1017058 | NJ | Primary |
Addresses
Primary practice location
54 Plymouth St
Montclair, NJ 07042-2137
Mailing address
54 Plymouth St
Montclair, NJ 07042-2137
Phone (973) 746-3466
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D1017058 | NJ | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oral & Maxillofacial Associates of Montclair | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Oral and Maxillofacial Assoc of Nutley | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Interoperability endpoints
- wranucci191161@ahs.direct-ci.com
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.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Montclair, NJ
- NPI 1336298686
Oral and Maxillofacial Surgery
-
- Oral and Maxillofacial Surgery (Dentist)
- Nutley, NJ
- NPI 1811088701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1720295017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 PLYMOUTH ST",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422137",
"telephone_number": "973-746-3466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 PLYMOUTH ST",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422137",
"telephone_number": "973-746-3466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANUCCI",
"first_name": "WILLIAM",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NJ",
"license": "D1017058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.