Provider Demographics
NPI:1760441737
Name:RINAGGIO, JOSEPH (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:RINAGGIO
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 BERGEN ST
Mailing Address - Street 2:RUTGERS SCHOOL OF DENTAL MEDICINE, RM. D885
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-2495
Mailing Address - Country:US
Mailing Address - Phone:973-972-8909
Mailing Address - Fax:973-972-3164
Practice Address - Street 1:110 BERGEN ST
Practice Address - Street 2:RUTGERS SCHOOL OF DENTAL MEDICINE, RM. D885
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2495
Practice Address - Country:US
Practice Address - Phone:973-972-8909
Practice Address - Fax:973-972-3164
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI021153001223P0106X, 1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology
No1223E0200XDental ProvidersDentistEndodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU84997Medicare UPIN
NJ047693Medicare ID - Type UnspecifiedPROVIDER ID