1. Home
  2. Directory
  3. New Jersey
  4. Glen Rock
  5. Dentist
  6. NPI Profile

DR. MAYRA MODESTO-GARRIDO D.D.S.
NPI 1568524528
Dentist - General Practice in Glen Rock, NJ

Active since December 15, 2006PECOS Enrolled
266 HARRISTOWN RD, SUITE 102, GLEN ROCK, NJ 07452(201) 652-0400(201) 447-5762 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mayra Modesto-garrido D.d.s. NPPES

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

DR. MAYRA MODESTO-GARRIDO D.D.S. (NPI 1568524528) is an individual general practice provider in Glen Rock, New Jersey, licensed in New Jersey (22DI01825501) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568524528
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MAYRA MODESTO-GARRIDOCredential: D.D.S.
Location Address266 HARRISTOWN RD, SUITE 102Glen Rock, NJ 07452-3302
Mailing Address266 Harristown Rd, Suite 102Glen Rock, NJ 07452-3302 · (201) 652-0400 · Fax (201) 447-5762
Phone(201) 652-0400
Fax(201) 447-5762
Sole ProprietorNo
Enumeration DateDecember 15, 2006
Last NPPES UpdateMarch 16, 2023
NPPES CertifiedMarch 16, 2023
✔ NPI 1568524528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NJ · 22DI01825501
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
266 HARRISTOWN RD, Glen Rock, NJ 07452
Open in Google Maps ↗

Other Identifiers 3

Medicaid0066028NJ
Medicaid6037704NJ
Other898217NJ · United Concordia

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mayra Modesto-garrido D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07452 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTINA MAE ANZILOTTI OTR/L
Occupational Therapist
266 HARRISTOWN RD
GLEN ROCK, NJ 07452
Bergen County (551) 214-0918
PHILLIP JOHN POLENTARUTTI DPT
Physical Therapist
266 HARRISTOWN RD
GLEN ROCK, NJ 07452
Bergen County (201) 445-7000
SPORTSMED OF GLEN ROCK PA
Physical Therapist
266 HARRISTOWN RD, SUITE 200
GLEN ROCK, NJ 07452
Bergen County (201) 803-7695
JACQUELYN GNASSI LAC
Counselor (Mental Health)
266 HARRISTOWN RD
GLEN ROCK, NJ 07452
Bergen County (201) 564-7331
ASHLEY DELGUERCIO
Psychologist (Clinical)
266 HARRISTOWN RD
GLEN ROCK, NJ 07452
Bergen County (201) 564-7331
JULIAN RAPAPORT PH.D.
Psychologist
266 HARRISTOWN RD
GLEN ROCK, NJ 07452
Bergen County (786) 553-0191
THOMAS SUPKO JR.
Physical Therapist
266 HARRISTOWN RD
GLEN ROCK, NJ 07452
Bergen County (201) 445-7000
DR. STEPHANIE WHITTAKER DPT
Physical Therapist
266 HARRISTOWN RD
GLEN ROCK, NJ 07452
Bergen County (201) 445-7000

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 Mayra Modesto-garrido's NPI number?

The NPI number for Mayra Modesto-garrido is 1568524528. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Mayra Modesto-garrido located?

Mayra Modesto-garrido practices at 266 Harristown Rd Suite 102, Glen Rock, NJ 07452. The listed phone number is (201) 652-0400.

What is Mayra Modesto-garrido's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mayra Modesto-garrido enrolled in Medicare?

Yes. Mayra Modesto-garrido is registered in the Medicare PECOS enrollment system.

What insurance does Mayra Modesto-garrido accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Mayra Modesto-garrido 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 Mayra Modesto-garrido was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.