Individual provider Active NPI

Robert Harold Horowitz, D.M.D.

  • General Practice Dentistry
  • Colonia, NJ
National Provider Identifier
1114030616
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI00970600 Issued in NJ
Practice address
422 Fairview Ave
Colonia, NJ 07067-3717
Phone
(732) 381-7171
Fax
(732) 499-9830
NPI assigned
Aug 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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 22DI00970600 NJ Primary

Addresses

Primary practice location

422 Fairview Ave
Colonia, NJ 07067-3717

Mailing address

422 Fairview Ave
Colonia, NJ 07067-3717
Phone (732) 381-7171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 12, 2015 through Oct 12, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI00970600NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Colonia Dental Associates LLC General Practice Past Accepting new patients
Colonia Dental Group General Practice Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114030616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 FAIRVIEW AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070673717",
            "telephone_number": "732-381-7171",
            "fax_number": "732-499-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 FAIRVIEW AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070673717",
            "telephone_number": "732-381-7171",
            "fax_number": "732-499-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOROWITZ",
        "first_name": "ROBERT",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI00970600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonia, NJ

Sources for this page

Verify at the official NPI Registry.