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

DR. CHARLES T. LOO D.M.D., M.S.D.
NPI 1902986136
Dentist - Endodontics in Ridgewood, NJ

Active since October 16, 2006Opted out of Medicare · through Jan 26, 2028
1200 E RIDGEWOOD AVE, RIDGEWOOD, NJ 07450(201) 447-4404 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Charles T. Loo D.m.d., M.s.d. NPPES

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

DR. CHARLES T. LOO D.M.D., M.S.D. (NPI 1902986136) is an individual endodontics provider in Ridgewood, New Jersey, licensed in New Jersey (13408) and active in the NPI registry since October 2006. He has opted out of Medicare through January 26, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1902986136
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. CHARLES T. LOOCredential: D.M.D., M.S.D.
Location Address1200 E RIDGEWOOD AVERidgewood, NJ 07450-3957
Mailing Address1200 E Ridgewood AveRidgewood, NJ 07450-3957 · (201) 447-4404
Phone(201) 447-4404
Sole ProprietorYes
Enumeration DateOctober 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1902986136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in NJ · 13408
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.
1200 E RIDGEWOOD AVE, Ridgewood, NJ 07450
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Charles T. Loo D.m.d., M.s.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 26, 2016 through January 26, 2028.

Opt-Out Effective DateJanuary 26, 2016
Opt-Out In Effect ThroughJanuary 26, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07450 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 20

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

DR. WENDY S. BRILL D.M.D.
Dentist (Endodontics)
1200 E RIDGEWOOD AVE
RIDGEWOOD, NJ 07450
Bergen County (201) 447-4404
DR. CHIDAMBARAM RAMAN MD
Surgery
1200 E RIDGEWOOD AVE, WEST WING, 2ND FLOOR
RIDGEWOOD, NJ 07450
Bergen County (201) 444-4466
MISS BETZAIDA VASQUEZ CNIM
Specialist/Technologist, Other (Electroneurodiagnostic)
1200 E RIDGEWOOD AVE, SUITE 108
RIDGEWOOD, NJ 07450
Bergen County (201) 327-8600
MRS. MARIANNE MARIE LONGO
Nurse Practitioner
1200 E RIDGEWOOD AVE, 2ND FLOOR
RIDGEWOOD, NJ 07450
Bergen County (201) 670-8660
MRS. AMRIT GREWAL MD
Psychiatry & Neurology (Neurology)
1200 E RIDGEWOOD AVE, EAST WING 2ND FLOOR
RIDGEWOOD, NJ 07450
Bergen County (201) 444-0868
CELINE-ANN TEH-CHING SAMANIEGO APN
Nurse Practitioner (Acute Care)
1200 E RIDGEWOOD AVE
RIDGEWOOD, NJ 07450
Bergen County (201) 689-9400
DR. RONY GELMAN MD
Ophthalmology (Retina Specialist)
1200 E RIDGEWOOD AVE
RIDGEWOOD, NJ 07450
Bergen County (201) 612-9600
NEW JERSEY KEYSTONE PHYSICIANS,PA
Family Medicine
1200 E RIDGEWOOD AVE, WEST WING, SECOND FLOOR
RIDGEWOOD, NJ 07450
Bergen County (201) 447-3690

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 Charles Loo's NPI number?

The NPI number for Charles Loo is 1902986136. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Charles Loo located?

Charles Loo practices at 1200 E Ridgewood Ave, Ridgewood, NJ 07450. The listed phone number is (201) 447-4404.

What is Charles Loo's specialty?

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

Is Charles Loo enrolled in Medicare?

No. Charles Loo has opted out of Medicare through January 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Charles Loo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.