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REJUVENATE DENTAL SLEEP MEDICINE
NPI 1851738736
Dentist - General Practice in Glen Rock, NJ

Active since May 31, 2013
266 HARRISTOWN RD, SUITE 102, GLEN ROCK, NJ 07452(201) 652-0400(201) 447-5762 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 27, 2024, Jun 12, 2024, May 9, 2024 and 1 more (4 updates tracked since 2023).

About Rejuvenate Dental Sleep Medicine NPPES

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

REJUVENATE DENTAL SLEEP MEDICINE (NPI 1851738736) is a healthcare organization registered as a general practice in Glen Rock, New Jersey and active in the NPI registry since May 2013. The organization lists Mayra Modesto-garrido, Dentist, as its authorized official.

NPPES Registry Identity

NPI1851738736
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameREJUVENATE DENTAL SLEEP MEDICINE
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
Organization SubpartNo
Authorized OfficialMayra Modesto-garridoDentist · (201) 652-0400
Enumeration DateMay 31, 2013
Last NPPES UpdateJune 27, 20244 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
✔ NPI 1851738736 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 · 22DI01825500
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
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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

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 Rejuvenate Dental Sleep Medicine's NPI number?

The NPI number for Rejuvenate Dental Sleep Medicine is 1851738736. It was assigned to this organization in the NPPES registry on May 31, 2013.

Where is Rejuvenate Dental Sleep Medicine located?

Rejuvenate Dental Sleep Medicine is located at 266 Harristown Rd Suite 102, Glen Rock, NJ 07452. The listed phone number is (201) 652-0400.

What is Rejuvenate Dental Sleep Medicine's specialty?

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

When was this NPI record last updated?

The NPPES record for Rejuvenate Dental Sleep Medicine was last updated on June 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.