Individual provider Active NPI

Zydrune Rudaviciute, DMD

  • General Practice Dentistry
  • Raritan, NJ
National Provider Identifier
1972497071
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI03095600 Issued in NJ
Practice address
64 E Somerset St
Raritan, NJ 08869-2177
Phone
(908) 725-1525
NPI assigned
Jun 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI03095600 NJ Primary

Addresses

Primary practice location

64 E Somerset St
Raritan, NJ 08869-2177

Mailing address

1803 Breckenridge PL
Toms River, NJ 08755-0931
Phone (732) 998-5950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI03095600NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas M Masi DMD LLC General Practice PastSince Jun 8, 2025 Accepting new patients

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": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1972497071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 BRECKENRIDGE PL",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087550931",
            "telephone_number": "732-998-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 E SOMERSET ST",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088692177",
            "telephone_number": "908-725-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDAVICIUTE",
        "first_name": "ZYDRUNE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI03095600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raritan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.