Organization Active NPI

Roxbury Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Succasunna, NJ
National Provider Identifier
1154860252
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
22DI02505301 Issued in NJ
Legal business name
ROXBURY ORTHODONTICS
Practice address
168 Route 10 W
Succasunna, NJ 07876-1434
Phone
(973) 584-7555
NPI assigned
Feb 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Ms. Kimberly A Maher
Title
Licensing Coordinator
Phone
(973) 598-9555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 22DI02505301 NJ Primary

Addresses

Primary practice location

168 Route 10 W
Succasunna, NJ 07876-1434

Mailing address

168 Route 10 W
Succasunna, NJ 07876-1434
Phone (973) 584-7555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1154860252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 ROUTE 10 W",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761434",
            "telephone_number": "973-584-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 ROUTE 10 W",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761434",
            "telephone_number": "973-584-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXBURY ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "MAHER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LICENSING COORDINATOR",
        "authorized_official_telephone_number": "973-598-9555",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI02505301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Succasunna, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.