Ariel O Otero-Rodriguez, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

059089 Issued in NY

Practice address

221 Kearny Ave
Kearny, NJ 07032-2437

Phone

(201) 299-6393

Fax

(201) 299-6394

NPI assigned

Apr 9, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PR, NY2 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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

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.

• Downtown Bronx Medical Associates PC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bronx, NY
  • NPI 1689618407
  Medicare reassignment NPD
• Wyckoff Heights Dental Services P.C.

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1447298070

  Oral and Maxillofacial Surgery

  Medicare reassignment NPD
• Integra Oral Surgery Group P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Kearny, NJ
  • NPI 1528839370
  NPD Authorized official
• Wisco Oral Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Aibonito, PR
  • NPI 1407535214
  NPD (past)

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1922364439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322437",
            "telephone_number": "201-299-6393",
            "fax_number": "201-299-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322437",
            "telephone_number": "201-299-6393",
            "fax_number": "201-299-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO-RODRIGUEZ",
        "first_name": "ARIEL",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-09",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02754900",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PR",
            "license": "3177",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "059089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Olmo, RN, BEC
• Myong Ok Om, DIPL. O.M.
• Christina Marie Onorato, FNP-BC
• Open Minds Caring Hands LLC
• Anton Orlov, PHARMD
• Anna Padykula, M.D.
• Joshua Emmanuel Pagan Busigo
• Kiriakos Panterlis, DC
• Dohee Park I, DDS
• Ankita B Patel

• Oral and Maxillofacial Surgery (Dentist) in Kearny, NJ
• Providers in Kearny, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.

Verify at the official NPI Registry.