Hillary Rosen Khodari, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22DI02682500 Issued in NJ

Practice address

2455 Route 516
Old Bridge, NJ 08857

Phone

(732) 679-2323

Fax

(732) 679-8896

NPI assigned

Feb 9, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Hillary Beth Rosen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kidzdent Childrens Dental Center LLC

  • Dentist
  • Old Bridge, NJ
  • NPI 1053026799
  NPD
• Kidzdent-Childrens Dental Care

  • Dental Clinic/Center
  • Old Bridge, NJ
  • NPI 1205028917
  NPD (past)

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215328513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 ROUTE 516",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571892",
            "telephone_number": "732-679-2323",
            "fax_number": "732-679-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 ROUTE 516",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "08857",
            "telephone_number": "732-679-2323",
            "fax_number": "732-679-8896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27005 76th Ave",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110401402",
            "country_code": "US",
            "telephone_number": "718-470-4120",
            "fax_number": "718-347-4118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHODARI",
        "first_name": "HILLARY",
        "middle_name": "ROSEN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02682500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILLARY",
            "last_name": "ROSEN",
            "middle_name": "BETH",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Basma Khan, MD
• Malik Adnan Ullah Khan, MD
• Rizwana Khan, M.D.
• Hemil Nitin Khandwala, PHARMD
• Rupa Mahendra Khandwala, P.A.
• Kidney Life, LLC
• Kidzdent Childrens Dental Center LLC
• Kidzdent-Childrens Dental Care
• Lora Amy Kimball, LCSW
• Ashley Kipness, PSY.D.

• Pediatric Dentistry in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.