Roselle Park Dental Assoc LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ROSELLE PARK DENTAL ASSOC LLC

Practice address

141 Chestnut St
Roselle Park, NJ 07204-2261

Phone

(908) 245-1745

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joel C Gelbman, DDS

Title

Pres

Phone

(908) 245-1745

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073685533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 CHESTNUT ST",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042261",
            "telephone_number": "908-245-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 CHESTNUT ST",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042261",
            "telephone_number": "908-245-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSELLE PARK DENTAL ASSOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GELBMAN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "908-245-1745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Roselle Park Public Schools District
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• General Practice Dentistry in Roselle Park, NJ
• Providers in Roselle Park, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.