Individual provider Active NPI

James Edward Rynar, DMD

  • Periodontics
  • Florham Park, NJ
National Provider Identifier
1881725950
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
12658 Issued in NJ
Practice address
131 Columbia Tpke
Suite 2C
Florham Park, NJ 07932-2181
Phone
(973) 377-3131
Fax
(973) 377-0277
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 12658 NJ Primary

Addresses

Primary practice location

131 Columbia Tpke
Suite 2C
Florham Park, NJ 07932-2181

Mailing address

131 Columbia Tpke
Suite 2C
Florham Park, NJ 07932-2181
Phone (973) 377-3131

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
I20150728005657 NJ Order and Referring Only - DentistPractitioner - Dentist 4486968906

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
12658NJMDPeriodontist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881725950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 COLUMBIA TPKE",
            "address_2": "SUITE 2C",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322181",
            "telephone_number": "973-377-3131",
            "fax_number": "973-377-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 COLUMBIA TPKE",
            "address_2": "SUITE 2C",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322181",
            "telephone_number": "973-377-3131",
            "fax_number": "973-377-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYNAR",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "12658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

Verify at the official NPI Registry.