Active NPI
Michael A Rosenberg, D.D.S.
- General Practice Dentistry
- Union City, NJ
National Provider Identifier
1023010535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- NJ14903
- Practice address
- 4900 Bergenline Ave
Union City, NJ 07087-5114 - Phone
- (201) 865-1864
- NPI assigned
- Aug 15, 2005
- Reactivated
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NJ14903 | NJ | Primary |
Addresses
Primary practice location
4900 Bergenline Ave
Union City, NJ 07087-5114
Mailing address
32 W 83Rd St
New York, NY 10024-5228
Phone (212) 873-1715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NJ14903 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450828800000",
"number": "1023010535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 W 83RD ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100245228",
"telephone_number": "212-873-1715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 BERGENLINE AVE",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070875114",
"telephone_number": "201-865-1864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "MICHAEL",
"middle_name": "A",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2015-12-23",
"deactivation_date": "2006-03-22",
"reactivation_date": "2006-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "NJ14903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.