Individual provider Active NPI

Sylvia Podbor Rogers, D.M.D.

  • General Practice Dentistry
  • Wayne, NJ
National Provider Identifier
1043334048
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NJ12120 Issued in NJ
Practice address
48 Yellow Brick Rd
Wayne, NJ 07470-5496
Phone
(973) 633-0069
Fax
(973) 694-9850
NPI assigned
Mar 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NJ12120 NJ Primary

Addresses

Primary practice location

48 Yellow Brick Rd
Wayne, NJ 07470-5496

Mailing address

48 Yellow Brick Rd
Wayne, NJ 07470-5496
Phone (973) 633-0069

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NJ12120NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Rogers Dental Group LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043334048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 YELLOW BRICK RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705496",
            "telephone_number": "973-633-0069",
            "fax_number": "973-694-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 YELLOW BRICK RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705496",
            "telephone_number": "973-633-0069",
            "fax_number": "973-694-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "SYLVIA",
        "middle_name": "PODBOR",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "NJ12120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.