NPIMap

Organization Active NPI

Rockaway Family Dental LLC.

  • General Practice Dentistry
  • Rockaway, NJ
National Provider Identifier
1003059965
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02217100 Issued in NJ
Legal business name
ROCKAWAY FAMILY DENTAL LLC.
Practice address
200 E Main St Ste a&B
Rockaway, NJ 07866-3614
Phone
(973) 784-4749
Fax
(973) 784-4537
NPI assigned
Apr 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Weimin Jin
Title
Owner
Phone
(973) 784-4749

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 22DI02217100 NJ Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 22DI02289200 NJ

Addresses

Primary practice location

200 E Main St Ste a&B
Rockaway, NJ 07866-3614

Mailing address

200 E Main St Ste a&B
Rockaway, NJ 07866-3614
Phone (973) 784-4749

National Provider Directory

National Provider Directory

Locations

200 E Main St
Ste Ab
Rockaway, NJ 07866
Phone (973) 784-4749

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1003059965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E MAIN ST STE A&B",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663614",
            "telephone_number": "973-784-4749",
            "fax_number": "973-784-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MAIN ST STE A&B",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663614",
            "telephone_number": "973-784-4749",
            "fax_number": "973-784-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKAWAY FAMILY DENTAL LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "JIN",
        "authorized_official_first_name": "WEIMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-784-4749",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02217100",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI02289200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.