Ralph J Terrace, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

22D101127800 Issued in NJ

Practice address

700 Broadway Ste 64
Westwood, NJ 07675-1674

Phone

(201) 666-1300

Fax

(201) 666-2055

NPI assigned

Sep 21, 2006

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)

Not enrolled

State licenses

Practice roles

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.

• Broadway Dental Associates, P.a.

  • General Practice Dentistry
  • Westwood, NJ
  • NPI 1043316136
  NPD (past) Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164521886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 BROADWAY STE 64",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751674",
            "telephone_number": "201-666-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BROADWAY STE 64",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751674",
            "telephone_number": "201-666-1300",
            "fax_number": "201-666-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRACE",
        "first_name": "RALPH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D101127800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Marianne Sullivan, CLC
• Lindsay Mae Sullivan, DPT
• Sunflower Dental Group of Westwood PC
• Sunflower Dental Group of Westwood PC
• Robert Tassan, M.D.
• The Bergen County Neonatal Center, PC
• The New Jersey Expanding Capabilities Center
• The Optical Illusion
• Nicholas Julius Theisz, OD
• Brittany Tierney

• Dentist in Westwood, NJ
• Providers in Westwood, NJ by specialty
• 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.