Individual provider Active NPI

Stanley H Rauchwerger, D.D.S.

  • Dentist
  • Lawrenceville, NJ
National Provider Identifier
1750483228
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI01222000 Issued in NJ
Practice address
6 Colonial Lake Dr Ste H
Lawrenceville, NJ 08648-4126
Phone
(609) 883-1600
NPI assigned
Sep 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI01222000 NJ Primary

Addresses

Primary practice location

6 Colonial Lake Dr Ste H
Lawrenceville, NJ 08648-4126

Mailing address

6 Colonial Lake Dr Ste H
Lawrenceville, NJ 08648-4126
Phone (609) 883-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150514002461 NJ Order and Referring Only - DentistPractitioner - Dentist 9739355215
O20120104000810 NJ DME Supplier - Oral Surgery - Dentist 3476729955 Practice locations: Lawrenceville, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Derman D.M.D. Family Dentistry LLC PastSince Nov 5, 2023 Accepting new patients
R S Family Dental Inc 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": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1750483228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 COLONIAL LAKE DR STE H",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484126",
            "telephone_number": "609-883-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 COLONIAL LAKE DR STE H",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484126",
            "telephone_number": "609-883-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUCHWERGER",
        "first_name": "STANLEY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01222000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.