| Rutgers Health Group | |
|
90 Bergen St Suite 7700 Newark NJ 07103-2425 | |
| (973) 972-2444 | |
| (973) 972-2441 |
| Full Name | Rutgers Health Group |
|---|---|
| Speciality | Dentist |
| Location | 90 Bergen St, Newark, New Jersey |
| Authorized Official Name and Position | Vicente H Gracias (PRESIDENT) |
| Authorized Official Contact | 7322357631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rutgers Health Group 90 Bergen St Suite 7700 Newark NJ 07103-2425 Ph: (973) 972-8668 | Rutgers Health Group 90 Bergen St Suite 7700 Newark NJ 07103-2425 Ph: (973) 972-2444 |
| NPI Number | 1346454584 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 07/14/2017 |
| Medicare PECOS PAC ID | 7113811837 |
|---|---|
| Medicare Enrollment ID | O20040212000116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346454584 | NPI | - | NPPES |
| 250009 | Medicaid | NJ |
| Provider Name | Vincent B Ziccardi |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1942262548 PECOS PAC ID: 8123063278 Enrollment ID: I20050621000060 |
| Provider Name | Shahid Aziz |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1356303044 PECOS PAC ID: 9739124884 Enrollment ID: I20050621000078 |
| Provider Name | Louis A Dipede |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1508828443 PECOS PAC ID: 1557306602 Enrollment ID: I20050621000081 |
| Provider Name | Mahnaz Fatahzadeh |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1225096720 PECOS PAC ID: 6002824919 Enrollment ID: I20080822000046 |
| Provider Name | Victor Petriella |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1093763724 PECOS PAC ID: 4284772567 Enrollment ID: I20091106000014 |
| Provider Name | Lawrence M Gorzelnik |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1235262064 PECOS PAC ID: 2860530151 Enrollment ID: I20091106000057 |
| Provider Name | Hani Braidy |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1073575759 PECOS PAC ID: 1456305267 Enrollment ID: I20091106000107 |
| Provider Name | Talib A Najjar |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1942262068 PECOS PAC ID: 1355489667 Enrollment ID: I20091106000204 |
| Provider Name | Barry Zweig |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1457313181 PECOS PAC ID: 9537208780 Enrollment ID: I20091201000011 |
| Provider Name | Nathan Wuebbels |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1295902096 PECOS PAC ID: 9335326339 Enrollment ID: I20110531000228 |
| Provider Name | Imad Tamimi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1659669091 PECOS PAC ID: 0042116618 Enrollment ID: I20110912000111 |
| Provider Name | Sung H Cho |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1952400780 PECOS PAC ID: 0446323323 Enrollment ID: I20120109000326 |
| Provider Name | Gary M Heir |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1396865721 PECOS PAC ID: 1153585625 Enrollment ID: I20120613000244 |
| Provider Name | Sowmya Ananthan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1235446931 PECOS PAC ID: 5294990966 Enrollment ID: I20120702000222 |
| Provider Name | Salvatore Napoli |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1891877494 PECOS PAC ID: 2668785312 Enrollment ID: I20170405000397 |
| Provider Name | Mohamed Kamel |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1255636155 PECOS PAC ID: 2567734783 Enrollment ID: I20170823003065 |
| Provider Name | Mostafa Alwakeel |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1396351318 PECOS PAC ID: 2466844683 Enrollment ID: I20220121000023 |
| Provider Name | Yingci Liu |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1386269652 PECOS PAC ID: 6507253747 Enrollment ID: I20220419000071 |
| Provider Name | Rabie Shanti |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1811202633 PECOS PAC ID: 4789980699 Enrollment ID: I20220906000059 |
| Provider Name | David Serratelli |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1255743159 PECOS PAC ID: 9931324977 Enrollment ID: I20220912001890 |
| Provider Name | Rami Omar Muadab |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1669806709 PECOS PAC ID: 6800265570 Enrollment ID: I20221220001607 |
| Provider Name | Heba Elkassaby |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1124403795 PECOS PAC ID: 8325412190 Enrollment ID: I20230317000025 |
| Provider Name | Chang Min Yim |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1417398405 PECOS PAC ID: 8820325384 Enrollment ID: I20230728001427 |
A&c Dental Concepts Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 Lafayette St, Newark, NJ 07105 Phone: 973-344-8170 Fax: 973-344-2471 | |
Infinite Endodontics 2 Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 Somme St, Newark, NJ 07105 Phone: 973-578-8799 | |
Dental Kidz, Limited Liability Company Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Commerce St, 11th Floor, Newark, NJ 07102 Phone: 973-204-4006 Fax: 800-757-3051 | |
Aaron M. Parada, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 Branford Pl, Newark, NJ 07102 Phone: 973-424-0040 Fax: 973-424-0089 | |
Childsmiles Group Holdings Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Bleeker St, Newark, NJ 07102 Phone: 973-578-8788 Fax: 973-578-8799 | |
Rutgers Health Dental Associates Os-nwk Dental Clinic Medicare: Medicare Enrolled Practice Location: 90 Bergen St # 7700, Newark, NJ 07103 Phone: 973-972-2444 Fax: 973-972-2441 | |
Richard R. Karlen Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 164 Ferry St, Jackson Street Entrance, Newark, NJ 07105 Phone: 973-589-5227 Fax: 973-589-5405 |