Dental Pm PC
NPI 1932570462ActiveOrganization· Dentist· Paterson, NJ
Dentist in Paterson, New Jersey, registered in NPPES in October 2015. The authorized official on file is Rafael D. Rodriguez, DDS, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1932570462 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 9, 2015 |
| Last updated in NPPES | Jul 20, 2023 |
| Certified by provider | Jul 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 22DI02512900 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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