Active NPI
Reuben Aaron Atlas
- General Practice Dentistry
- Morganville, NJ
National Provider Identifier
1811347495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI02651300
- Practice address
- 100 Campus Dr Ste 202
Morganville, NJ 07751 - Phone
- (732) 972-2300
- NPI assigned
- Jun 15, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 22DI02651300 | NJ | Primary |
Addresses
Primary practice location
100 Campus Dr Ste 202
Morganville, NJ 07751
Mailing address
100 Campus Dr Ste 202
Morganville, NJ 07751-1253
Phone (732) 972-2300
Other practice location 1
17 Ryan Rd
Edison, NJ 08817-2941
Phone (732) 770-3146
Other practice location 2
100 Campus Dr Ste 202
Morganville, NJ 07751
Phone (732) 972-2300
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170307002074 | NJ | Order and Referring Only - Oral Surgery | 8729362991 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reuben Atlas DDS LLC | General Practice | Current | Accepting new patients |
Locations
100 Campus Dr
Ste 202
Morganville, NJ 07751
Phone (732) 972-2300
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.
-
- General Practice Dentistry
- Morganville, NJ
- NPI 1841768298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541289600000",
"number": "1811347495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CAMPUS DR STE 202",
"city": "MORGANVILLE",
"state": "NJ",
"postal_code": "077511253",
"telephone_number": "732-972-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CAMPUS DR STE 202",
"city": "MORGANVILLE",
"state": "NJ",
"postal_code": "07751",
"telephone_number": "732-972-2300"
}
],
"practiceLocations": [
{
"address_1": "17 Ryan Rd",
"address_purpose": "LOCATION",
"city": "Edison",
"state": "NJ",
"postal_code": "088172941",
"country_code": "US",
"telephone_number": "732-770-3146",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Campus Dr Ste 202",
"address_purpose": "LOCATION",
"city": "Morganville",
"state": "NJ",
"postal_code": "07751",
"country_code": "US",
"telephone_number": "732-972-2300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ATLAS",
"first_name": "REUBEN",
"middle_name": "AARON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-15",
"last_updated": "2018-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02651300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morganville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.