Individual provider Active NPI

Reuben Aaron Atlas

  • General Practice Dentistry
  • Morganville, NJ
National Provider Identifier
1811347495
Registry record updated Nov 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02651300 Issued in NJ
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

Updated by the provider on Nov 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170307002074 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8729362991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.