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RUTGERS UNIVERSITY DENTAL ASSOCIATES-NEW BRUNSWICK
NPI 1164874376
Dentist in New Brunswick, NJ

Active since July 12, 2016
135 SOMERSET STREET, SUITE A, NEW BRUNSWICK, NJ 08901(732) 235-5050(732) 220-0045 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rutgers University Dental Associates-new Brunswick NPPES

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

RUTGERS UNIVERSITY DENTAL ASSOCIATES-NEW BRUNSWICK (NPI 1164874376) is a healthcare organization registered as a dentist in New Brunswick, New Jersey and active in the NPI registry since July 2016. The organization lists Rosemarie O Vaccaro, Sr Mgr Billing & Collections Office, as its authorized official.

NPPES Registry Identity

NPI1164874376
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameRUTGERS UNIVERSITY DENTAL ASSOCIATES-NEW BRUNSWICK
Location Address135 SOMERSET STREET, SUITE ANew Brunswick, NJ 08901-2072
Mailing Address135 Somerset Street, Suite ANew Brunswick, NJ 08901-2072 · (732) 235-5050 · Fax (732) 220-0045
Phone(732) 235-5050
Fax(732) 220-0045
Organization SubpartNo
Authorized OfficialRosemarie O VaccaroSr Mgr Billing & Collections Office · (973) 972-8664
Enumeration DateJuly 12, 2016
Last NPPES UpdateMay 20, 2024
✔ NPI 1164874376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NJ · 22DI02319600
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
135 SOMERSET STREET, New Brunswick, NJ 08901
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, UnitedHealthcare.Insurance ›

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 University Dental Associates-new Brunswick is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Rutgers University Dental Associates-New Brunswick, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (9)

Mahnaz Fatahzadeh, DMD
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 Medicare21 mi
Sowmya Ananthan, DMD
Oral Surgery
NPI 1235446931
110 BERGEN ST RECEPTION #12
Newark, NJ 07103
(973) 972-3418
✔ PECOS✔ Accepts Medicare22 mi
Shahid Aziz, D.M.D., M.D.
Maxillofacial Surgery
NPI 1356303044
110 BERGEN ST ROOM B854
Newark, NJ 07103
(973) 972-4292
✔ PECOS✔ Accepts Medicare22 mi
Heba Elkassaby, BDS, DMD, MDSC
Dentist
NPI 1124403795
110 BERGEN ST RM C-703
Newark, NJ 07103
(347) 446-3873
✔ PECOS✔ Accepts Medicare22 mi
Rabie Shanti, DMD, MD
Oral Surgery
NPI 1811202633
110 BERGEN ST RM B-854
Newark, NJ 07103
(739) 972-3126
✔ PECOS✔ Accepts Medicare22 mi
Chang Min Yim, DMD
Oral Surgery
NPI 1417398405
110 BERGEN ST # B854
Newark, NJ 07103
(973) 972-7462
✔ PECOS✔ Accepts Medicare22 mi
Tarandeep Singh, D.D.S
Oral Surgery
NPI 1538693601
90 BERGEN ST STE 7700
Newark, NJ 07103
(973) 972-2444
✔ PECOS22 mi
Anayo Adachie, DMD
Oral Surgery
NPI 1134356157
10 UNION SQ E STE 5B
New York, NY 10003
(212) 844-8775
✔ PECOS✔ Accepts Medicare29 mi
Rami Muadab, B.D.S.
Dentist
NPI 1669806709
1 KNEELAND ST
Boston, MA 02111
(617) 636-3915
✔ PECOS218 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 University Dental Associates-New Brunswick's NPI number?

The NPI number for Rutgers University Dental Associates-New Brunswick is 1164874376. It was assigned to this organization in the NPPES registry on July 12, 2016.

Where is Rutgers University Dental Associates-New Brunswick located?

Rutgers University Dental Associates-New Brunswick is located at 135 Somerset Street Suite A, New Brunswick, NJ 08901. The listed phone number is (732) 235-5050.

What is Rutgers University Dental Associates-New Brunswick's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Rutgers University Dental Associates-New Brunswick enrolled in Medicare?

Yes. Rutgers University Dental Associates-New Brunswick is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rutgers University Dental Associates-New Brunswick?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Rutgers University Dental Associates-New Brunswick. 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 (6), Dentist (2) and Maxillofacial Surgery (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Rutgers University Dental Associates-New Brunswick accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and UnitedHealthcare list Rutgers University Dental Associates-New Brunswick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rutgers University Dental Associates-New Brunswick was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.