NPIMap

Organization Active NPI

Renaissance Dental Care LLC

  • General Practice Dentistry
  • North Brunswick, NJ
National Provider Identifier
1962551465
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI21215 Issued in NJ
Legal business name
RENAISSANCE DENTAL CARE LLC
Practice address
1520 US Highway 130
Suite 102
North Brunswick, NJ 08902-3148
Phone
(732) 422-1400
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Madhavi Kaluskar
Title
President
Phone
(732) 422-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DI21215 NJ Primary

Addresses

Primary practice location

1520 US Highway 130
Suite 102
North Brunswick, NJ 08902-3148

Mailing address

1520 US Highway 130 N
Suite 102
North Brunswick, NJ 08902-3148
Phone (732) 422-1400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962551465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 US HIGHWAY 130 N",
            "address_2": "SUITE 102",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023148",
            "telephone_number": "732-422-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 US HIGHWAY 130",
            "address_2": "SUITE 102",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023148",
            "telephone_number": "732-422-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KALUSKAR",
        "authorized_official_first_name": "MADHAVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-422-1400"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI21215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.