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RUTGERS HEALTH GROUP
NPI 1346454584
Dentist - Endodontics in Newark, NJ

Active since May 09, 2007
90 BERGEN ST, SUITE 7700, NEWARK, NJ 07103(973) 972-2444(973) 972-2441 Get Directions Write a Review

NPPES record last updated: July 14, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rutgers Health Group NPPES

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

RUTGERS HEALTH GROUP (NPI 1346454584) is a healthcare organization registered as an endodontics in Newark, New Jersey and active in the NPI registry since May 2007. The organization lists Vicente H Gracias, President, as its authorized official.

NPPES Registry Identity

NPI1346454584
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameRUTGERS HEALTH -UNIVERSITY DENTAL ASSOCIATES
Location Address90 BERGEN ST, SUITE 7700Newark, NJ 07103-2425
Mailing Address90 Bergen St, Suite 7700Newark, NJ 07103-2425 · (973) 972-8668 · Fax (973) 972-2441
Phone(973) 972-2444
Fax(973) 972-2441
Organization SubpartNo
Authorized OfficialVicente H GraciasPresident · (732) 235-7631
Enumeration DateMay 9, 2007
Last NPPES UpdateJuly 14, 2017
✔ NPI 1346454584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentist · General PracticeTaxonomy 1223G0001X
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 22DI01997900 (NJ)
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
Also ListedDental HygienistTaxonomy 124Q00000X
Also ListedDental AssistantTaxonomy 126800000X
90 BERGEN ST, Newark, NJ 07103
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Other Names 1

Other NameRutgers Health Group

Other Identifiers 2

Medicare ID-Type Unspecified672333NJ
Medicaid250009NJ

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.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 Health Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Rutgers Health Group, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Oral Surgery13
Dentist4
Maxillofacial Surgery4

Nearest to this location (20)

See all 21
Tarandeep Singh, D.D.S
Oral Surgery
NPI 1538693601
90 BERGEN ST STE 7700
Newark, NJ 07103
(973) 972-2444
✔ PECOSSame address
Odai Abushanab, DMD
Oral Surgery
NPI 1053818302
110 BERGEN ST
Newark, NJ 07103
(973) 972-3126
✔ PECOS0.1 mi
Sowmya Ananthan, DMD
Oral Surgery
NPI 1235446931
110 BERGEN ST RECEPTION #12
Newark, NJ 07103
(973) 972-3418
✔ PECOS✔ Accepts Medicare0.1 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 Medicare0.1 mi
Hani Braidy, DMD
Oral Surgery
NPI 1073575759
110 BERGEN ST DEPT. OF OMFS
Newark, NJ 07103
(973) 972-9492
✔ PECOS✔ Accepts Medicare0.1 mi
Heba Elkassaby, BDS, DMD, MDSC
Dentist
NPI 1124403795
110 BERGEN ST RM C-703
Newark, NJ 07103
(347) 446-3873
✔ PECOS✔ Accepts Medicare0.1 mi
Gary Heir, DMD
Dentist
NPI 1396865721
110 BERGEN ST RM D880
Newark, NJ 07103
(973) 972-6460
✔ PECOS✔ Accepts Medicare0.1 mi
Rabie Shanti, DMD, MD
Oral Surgery
NPI 1811202633
110 BERGEN ST RM B-854
Newark, NJ 07103
(739) 972-3126
✔ PECOS✔ Accepts Medicare0.1 mi
Chang Min Yim, DMD
Oral Surgery
NPI 1417398405
110 BERGEN ST # B854
Newark, NJ 07103
(973) 972-7462
✔ PECOS✔ Accepts Medicare0.1 mi
Vincent Ziccardi
Maxillofacial Surgery
NPI 1942262548
110 BERGEN ST ROOM B-854
Newark, NJ 07103
(973) 972-7462
✔ PECOS✔ Accepts Medicare0.1 mi
Barry Zweig, DDS
Oral Surgery
NPI 1457313181
110 BERGEN ST
Newark, NJ 07103
(973) 972-4275
✔ PECOS0.1 mi
Nathan Wuebbels, DMD, MD
Maxillofacial Surgery
NPI 1295902096
150 BERGEN ST ROOM C401
Newark, NJ 07103
(973) 972-3126
✔ PECOS✔ Accepts Medicare0.2 mi
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 Medicare0.3 mi
Imad Tamimi, D.M.D
Oral Surgery
NPI 1659669091
1054 CLIFTON AVE
Clifton, NJ 07013
(973) 625-4048
✔ PECOS✔ Accepts Medicare8.4 mi
Lawrence Gorzelnik, MD DMD
Maxillofacial Surgery
NPI 1235262064
100 KINGS RD
Madison, NJ 07940
(973) 966-6699
✔ PECOS12 mi
John Mullins, DMD
Oral Surgery
NPI 1265506968
567 PARK AVE SUITE 104
Scotch Plains, NJ 07076
(908) 490-0560
✔ PECOS13 mi
Salvatore Napoli, DDS, MD
Oral Surgery
NPI 1891877494
16 POCONO RD SUITE 117
Denville, NJ 07834
(973) 627-1220
✔ PECOS✔ Accepts Medicare18 mi
David Serratelli, D.M.D.
Oral Surgery
NPI 1255743159
976 US HIGHWAY 22
Bridgewater, NJ 08807
(908) 947-2393
✔ PECOS25 mi
Mostafa Alwakeel, DMD
Dentist
NPI 1396351318
5450 WISSAHICKON AVE APT B232
Philadelphia, PA 19144
(202) 830-8604
✔ PECOS72 mi
Sung Cho, D.M.D
Oral Surgery
NPI 1952400780
909 WALNUT ST 300 COB
Philadelphia, PA 19107
(215) 955-6215
✔ PECOS✔ Accepts Medicare75 mi
See all 21 clinicians

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 Health -University Dental Associates's NPI number?

The NPI number for Rutgers Health -University Dental Associates is 1346454584. It was assigned to this organization in the NPPES registry on May 9, 2007. The provider is also known as Rutgers Health Group.

Where is Rutgers Health -University Dental Associates located?

Rutgers Health -University Dental Associates is located at 90 Bergen St Suite 7700, Newark, NJ 07103. The listed phone number is (973) 972-2444.

What is Rutgers Health -University Dental Associates's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Rutgers Health -University Dental Associates enrolled in Medicare?

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

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

According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 3 Medicare specialties reassign their Medicare billing to Rutgers Health -University Dental Associates. 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 (13), Dentist (4) and Maxillofacial Surgery (4). Of these, 1 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Rutgers Health -University Dental Associates accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Rutgers Health -University Dental Associates 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 Health -University Dental Associates was last updated on July 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.