Ronald Federman, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

NJ10543 Issued in NJ

Practice address

40 N Van Brunt St
Suite 29
Englewood, NJ 07631-2740

Phone

(201) 894-0888

Fax

(201) 871-4622

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124016472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N VAN BRUNT ST",
            "address_2": "SUITE 29",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312740",
            "telephone_number": "201-894-0888",
            "fax_number": "201-871-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N VAN BRUNT ST",
            "address_2": "SUITE 29",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312740",
            "telephone_number": "201-894-0888",
            "fax_number": "201-871-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDERMAN",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "NJ10543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Falto, P.A.
• Arianny Familia, LMHC-D, CRC
• Favor Senior Home Care LLC
• Alla Fayngersh, MD
• Orli Feder
• Katarina Malaika Feeley, FNP
• David Y Feigenblum, MD
• Deborah A Fein, MD
• Herbert S Feinberg, M.D.
• David Nathan Feldman, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• 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.