REJUVENATE DENTAL SLEEP MEDICINE (NPI# 1851738736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851738736 |
| Entity Type | Organization |
| Organization Name | REJUVENATE DENTAL SLEEP MEDICINE |
| Practice Address |
266 Harristown Rd Suite 102 Glen Rock NJ 07452-3302 |
| Practice Telephone | 2016520400 |
| Practice Fax Number | 2014475762 |
| Mailing Telephone | 2016520400 |
| Mailing Fax Number | 2014475762 |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2015-06-24 |
| Authorized Official Name | MAYRA MODESTO-GARRIDO (OWNER/DENTIST) |
| Authorized Official Telephone | 2016520400 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22DI01825500 | NJ | Dental Providers |
| Street Address |
266 HARRISTOWN RD SUITE 102 |
| City | GLEN ROCK |
| State | NJ |
| Zip Code | 07452-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982766853 | Excel Dentistry, P.C. | Dentist | 266 Harristown Rd, Suite 102, Glen Rock, NJ 07452-3302 | 2006-12-15 |
| 1376185546 | Phillip John Polentarutti | Physical Therapist | 266 Harristown Rd, Glen Rock, NJ 07452-3302 | 2019-10-09 |
| 1548810856 | Stephanie Zaccaria | Physical Therapist | 266 Harristown Rd, Glen Rock, NJ 07452-3302 | 2019-09-18 |
| 1396395000 | Caitlin A Alpaugh | Occupational Therapist | 266 Harristown Rd, Glen Rock, NJ 07452-3302 | 2019-09-14 |
| 1881183093 | Alexandra Elizabeth Legregin | Social Worker | 266 Harristown Rd, Glen Rock, NJ 07452-3302 | 2018-05-02 |
| 1205331451 | Maria Misko | Physical Therapist | 266 Harristown Rd, Glen Rock, NJ 07452-3302 | 2018-03-29 |
| 1376937896 | Sportsmed of Glen Rock Pa | Chiropractor | 266 Harristown Rd, Suite 200, Glen Rock, NJ 07452-3302 | 2015-03-23 |
| 1891066486 | Aryam Modesto | Dentist | 266 Harristown Rd, Suite 102, Glen Rock, NJ 07452-3302 | 2012-01-13 |
| 1568524528 | Mayra Modesto-garrido | Dentist | 266 Harristown Rd, Suite 102, Glen Rock, NJ 07452-3302 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326566134 | Silverio Joseph Bumanlag | Physical Therapist | 251 Rock Road, Suite 2c, Glen Rock, NJ 07452 | 2017-08-31 |
| 1073030953 | Erin Leigh Leonard | Pediatrics | 37 Emerson Road, Glen Rock, NJ 07452 | 2017-08-23 |
| 1306389457 | Rock Physical Therapy & Sports Rehabilitation Inc | Clinic/Center | 251 Rock Rd Ste 2e, Glen Rock, NJ 07452 | 2016-11-22 |
| 1003215336 | Amanda Rose Peraino | Specialist | 17 Stonefield Road, Glen Rock, NJ 07452 | 2014-08-22 |
| 1083030225 | Kristopher D Paik | Dentist | Ridgewood Oral Surgery & Implant Center, 385 S. Maple Ave Ste 207, Glen Rock, NJ 07452 | 2014-03-12 |
| 1497016158 | Patricia A. Woods | Counselor | 849 Lincoln Avenue, Glen Rock, NJ 07452 | 2012-05-30 |
| 1114284239 | Eileen Kringle Mc Auley | Physical Therapist | 522 Broad Street, Glen Rock, NJ 07452 | 2012-04-13 |
| 1467748301 | Sujal P Patel | Orthopaedic Surgery | 85 Harristown Rd Ste 103, Glen Rock, NJ 07452 | 2011-06-20 |
| 1649426479 | Adam Avitabile | Physician Assistant | 208 Harristown Rd # Ll-2, Glen Rock, NJ 07452 | 2008-08-12 |
| 1427219914 | John Koerner | Orthopaedic Surgery | 266 Harristown Road, Suite 100, Glen Rock, NJ 07452 | 2008-06-18 |
| Find all providers in zip 07452 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629283726 | Gregory Baron | Dentist | 135 Rodney St, Glen Rock, NJ 07452-2827 | 2007-05-11 |
| 1134241581 | David Glenn Schoenberg | Dentist | 39 Wellesley Rd, Glen Rock, NJ 07452-1222 | 2007-04-05 |
| 1629106307 | A. Douglas Hunger IIi | Dentist | 9990 Susquehanna Trl S, Springfield Professional Center, Glen Rock, PA 17327-8493 | 2007-03-02 |
| 1043354657 | Teresa Michaud | Dentist | 849 Lincoln Ave, Glen Rock, NJ 07452-3231 | 2007-02-16 |
| 1982766853 | Excel Dentistry, P.C. | Dentist | 266 Harristown Rd, Suite 102, Glen Rock, NJ 07452-3302 | 2006-12-15 |
| 1376647735 | Jacquelyn Ann Dawson | Dentist | 237 Rock Rd, Glen Rock, NJ 07452-1708 | 2006-09-07 |
| 1912910183 | Peter A Frank Jr. | Dentist | 331 Lincoln Ave, Glen Rock, NJ 07452-1226 | 2006-08-15 |
| 1528061504 | Donald Michael Thompson | Dentist | 148 Manchester St, Glen Rock, PA 17327-1345 | 2005-05-24 |
| 1730587783 | Bright Smile A Visiting Dental Service of New Jersey LLC | Dentist | 39 Wellesley Rd, Glen Rock, NJ 07452-1222 | 2014-12-08 |
| 1053609974 | Tamar Gruenbaum | Dentist | 385 S Maple Ave, Suite 107, Glen Rock, NJ 07452-1543 | 2011-07-12 |
| Find all providers in GLEN ROCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.