RUTGERS SCHOOL OF DENTAL MEDICINE NPI 1073712543

NPI Information

NPI: 1073712543
Provider Name: RUTGERS SCHOOL OF DENTAL MEDICINE
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
110 BERGEN ST
NEWARK, NJ
ZIP 07103
Phone: (973) 972-0651
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RUTGERS SCHOOL OF DENTAL MEDICINE is a dental clinic center in Newark, NJ. RUTGERS SCHOOL OF DENTAL MEDICINE NPI is 1073712543. The provider is registered as an organization entity type.

The provider's business location address is:

110 BERGEN ST
NEWARK, NJ
ZIP 07103-495
Phone: (973) 972-0651
Fax: (073) 972-3164

The provider's authorized official is Harold Cohen .
The authorized official title is Director and has the following contact phone number (973) 972-0214.

The enumeration date for this NPI number is 7/16/2007 and was last updated on 3/24/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6045308	MEDICAID	NEW JERSEY
2	X17955	MEDICARE UPIN	NEW JERSEY
3	894120	OTHER	NEW JERSEY	MEDICARE GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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