Rutgers Health Group

LBN: Rutgers Health -University Dental Associates
Rutgers Health Group is an health care organization with primary practice located at 90 Bergen St Suite 7700, Newark NJ 07103-2425. The organization recently has 8 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Periodontics, Dental Providers / Prosthodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Dental Hygienist, Dental Providers / Dental Assistant. Dental Providers / Endodontics is the primary health care specialty. Rutgers Health -University Dental Associates can be contacted via phone (973) 972-2444, or through Gracias, Vicente H via phone (732) 235-7631.

Contact Information

Primary practice address
90 Bergen St Suite 7700 Newark NJ 07103-2425
Phone: (973) 972-2444
Fax: (973) 972-2441
Website:
Map and Directions
Authorized official contact:
Name: Gracias, Vicente H Doctor of Medicine (MD)
Phone: (732) 235-7631

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X
Dental Providers / General Practice 1223G0001X
Dental Providers / Periodontics 1223P0300X
Dental Providers / Prosthodontics 1223P0700X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 22DI01997900 New Jersey
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X
Dental Providers / Dental Hygienist 124Q00000X
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1346454584
LBN Legal business name Rutgers Health -University Dental Associates
DBA Doing business as Rutgers Health Group
Authorized official Gracias, Vicente H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2007
Last updated Jul 14th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346454584 NPPES
New Jersey MEDICAID 250009

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