Healthcare Provider Details

I. General information

NPI: 1992128979
Provider Name (Legal Business Name): RUI SERGIO SEU DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2014
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

924 SOUTH AVE W
WESTFIELD NJ
07090-1415
US

IV. Provider business mailing address

505 CHESTNUT ST
ROSELLE PARK NJ
07204-1918
US

V. Phone/Fax

Practice location:
  • Phone: 908-789-2220
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number22DI01915500
License Number StateNJ

VIII. Authorized Official

Name: DR. RUI SERGIO SEU
Title or Position: OWNER
Credential: DDS
Phone: 908-241-2220