RUTGERS SCHOOL OF DENTAL MEDICINE
NPI 1073712543
Clinic/Center - Dental in Newark, NJ

Active since July 16, 2007
110 BERGEN ST, NEWARK, NJ 07103(973) 972-0651(073) 972-3164 Get Directions Write a Review

NPPES record last updated: March 24, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Rutgers School Of Dental Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUTGERS SCHOOL OF DENTAL MEDICINE (NPI 1073712543) is a healthcare organization registered as a dental in Newark, New Jersey and active in the NPI registry since July 2007. The organization lists Harold Cohen, Director, as its authorized official.

NPPES Registry Identity

NPI1073712543
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameRUTGERS SCHOOL OF DENTAL MEDICINE
Location Address110 BERGEN STNewark, NJ 07103-2495
Mailing Address110 Bergen StNewark, NJ 07103-2495 · (973) 972-0214 · Fax (973) 972-3164
Fax(073) 972-3164
Organization SubpartNo
Authorized OfficialHarold CohenDirector · (973) 972-0214
Enumeration DateJuly 16, 2007
Last NPPES UpdateMarch 24, 2014
✔ NPI 1073712543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
110 BERGEN ST, Newark, NJ 07103

Other Identifiers 3

Medicaid6045308NJ
Medicare UPINX17955NJ
Other894120NJ · Medicare Group Number

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rutgers School Of Dental Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Rutgers School Of Dental Medicine, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Oral Surgery14
Dentist3
Pathology1

Clinicians, nearest first (18)

Oral Surgery
NPI 1235446931
110 BERGEN ST RECEPTION #12
Newark, NJ 07103
(973) 972-3418
✔ PECOS✔ Accepts MedicareSame address
Dentist
NPI 1124403795
110 BERGEN ST RM C-703
Newark, NJ 07103
(347) 446-3873
✔ PECOS✔ Accepts MedicareSame address
Dentist
NPI 1396865721
110 BERGEN ST RM D880
Newark, NJ 07103
(973) 972-6460
✔ PECOS✔ Accepts MedicareSame address
Oral Surgery
NPI 1811202633
110 BERGEN ST RM B-854
Newark, NJ 07103
(739) 972-3126
✔ PECOS✔ Accepts MedicareSame address
Oral Surgery
NPI 1417398405
110 BERGEN ST # B854
Newark, NJ 07103
(973) 972-7462
✔ PECOS✔ Accepts MedicareSame address
Oral Surgery
NPI 1770623134
110 BERGEN ST D-860
Newark, NJ 07103
(973) 972-0348
✔ PECOSSame address
Oral Surgery
NPI 1538693601
90 BERGEN ST STE 7700
Newark, NJ 07103
(973) 972-2444
✔ PECOS0.1 mi
Oral Surgery
NPI 1225096720
110 BEGERN STREET NJ DENTAL SCHOOL ORAL MEDICINE CLINIC D LEVEL AREA 12
Newark, NJ 07103
(973) 972-1956
✔ PECOS✔ Accepts Medicare0.3 mi
Oral Surgery
NPI 1194948604
262 MORRIS AVE
Springfield, NJ 07081
(973) 379-5177
✔ PECOS6.7 mi
Oral Surgery
NPI 1134356157
10 UNION SQ E STE 5B
New York, NY 10003
(212) 844-8775
✔ PECOS✔ Accepts Medicare11 mi
Oral Surgery
NPI 1265506968
567 PARK AVE SUITE 104
Scotch Plains, NJ 07076
(908) 490-0560
✔ PECOS12 mi
Oral Surgery
NPI 1215267091
780 CEDAR LN
Teaneck, NJ 07666
(201) 836-5333
✔ PECOS13 mi
Oral Surgery
NPI 1194833160
2500 LEMOINE AVE
Fort Lee, NJ 07024
(201) 461-1333
✔ PECOS✔ Accepts Medicare15 mi
Oral Surgery
NPI 1891877494
16 POCONO RD SUITE 117
Denville, NJ 07834
(973) 627-1220
✔ PECOS✔ Accepts Medicare18 mi
Oral Surgery
NPI 1255743159
976 US HIGHWAY 22
Bridgewater, NJ 08807
(908) 947-2393
✔ PECOS24 mi
Oral Surgery
NPI 1649301904
7 BOND ST
Great Neck, NY 11021
(516) 466-6990
✔ PECOS25 mi
Pathology
NPI 1386269652
3401 N BROAD ST
Philadelphia, PA 19140
(215) 707-3449
✔ PECOS✔ Accepts Medicare72 mi
Dentist
NPI 1669806709
1 KNEELAND ST
Boston, MA 02111
(617) 636-3915
✔ PECOS197 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rutgers School Of Dental Medicine's NPI number?

The NPI number for Rutgers School Of Dental Medicine is 1073712543. It was assigned to this organization in the NPPES registry on July 16, 2007.

Where is Rutgers School Of Dental Medicine located?

Rutgers School Of Dental Medicine is located at 110 Bergen St, Newark, NJ 07103. The listed phone number is (973) 972-0651.

What is Rutgers School Of Dental Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Is Rutgers School Of Dental Medicine enrolled in Medicare?

Yes. Rutgers School Of Dental Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rutgers School Of Dental Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 3 Medicare specialties reassign their Medicare billing to Rutgers School Of Dental Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Oral Surgery (14), Dentist (3) and Pathology (1). Of these, 6 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rutgers School Of Dental Medicine was last updated on March 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.