Myron Freeman DDS & Norman H Grolnick DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6433 Issued in NJ

Legal business name

MYRON FREEMAN DDS & NORMAN H GROLNICK DDS

Practice address

40 Elm Ave
Woodbury Heights, NJ 08097

Phone

(856) 848-6630

Fax

(856) 848-7294

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Norman H Grolnick, DDS

Title

Dentist Corp Secretary

Phone

(856) 848-6630

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1174690382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ELM AVE",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "08097",
            "telephone_number": "856-848-6630",
            "fax_number": "856-848-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ELM AVE",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "08097",
            "telephone_number": "856-848-6630",
            "fax_number": "856-848-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRON FREEMAN DDS & NORMAN H GROLNICK DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "GROLNICK",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST CORP SECRETARY",
        "authorized_official_telephone_number": "856-848-6630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "6433",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "9145",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Woodbury Heights, NJ
• Providers in Woodbury Heights, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.