Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1497094817 Deactivated / Inactive NPI Male Practitioner

Dr. Peter Kudyba , DDS

Dentist • Newark, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Peter Kudyba has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 05, 2013
NPI Deactivation Date July 03, 2025
Total Practice Duration ~12 Years of Practice (2013 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Peter Kudyba, DDS was a registered Dentist practicing in Newark, NJ. Throughout an active medical career spanning 12 years, Dr. Kudyba provided care at the practice location at 110 BERGEN ST until profile deactivation on 2025-07-03.

Practice Location & Contact Primary Location

Practice Address

110 Bergen St

Newark, NJ 071032495

Telephone 9739724615
Fax 9739720370
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Newark, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.5 Yrs
State Avg: 20.7 Yrs
Regional Practice Density
98 Specialists

Practicing in Newark, NJ (2906 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NJ 22DI00717700

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
NPI 1013059013

Doctor of Dental Medicine, Master of Science, Doctor of Philosophy (Ph.D.)

Dr. Mohamed Kamel , DMD, MS, MSD

Dentist - Prosthodontics

NPI 1255636155

Doctor of Dental Medicine, Master of Science, MSD

Abhinav Wadkar , BDS

Dentist - Prosthodontics

NPI 1306289772
Dr. Joel Martin , BS, DDS, MS

Dentist - Prosthodontics

NPI 1346205218

Bachelor of Science, Doctor of Dental Surgery, Master of Science

Dr. Asha Samant , DMD

Dentist - Prosthodontics

NPI 1386777100

Doctor of Dental Medicine

Dr. Marc Rosenblum , DMD

Dentist - General Practice

NPI 1467591370

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 03, 2025

Record deactivated on July 03, 2025

NPI Profile Active February 05, 2013

NPI status registered as active in NPPES database

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Updated Practice Location February 05, 2013

Registered at 110 BERGEN ST, NEWARK, NJ 071032495 (Tel: 9739724615)

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Updated Business Mailing Address February 05, 2013

Registered at 64 PINE BROOK RD, TOWACO, NJ 070821426

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Provider Name / Credentials Updated February 05, 2013

Recorded as PETER KUDYBA, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2013

Dentist (License #22DI00717700 in NJ)

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Initial NPI Registration & Enumeration February 05, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497094817
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 05, 2013
Last Update: February 05, 2013
Deactivation Date: July 03, 2025

Mailing Address

64 Pine Brook Rd

Towaco, NJ 070821426

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.