Individual provider Active NPI

Roman V Solyanyk, D.D.S

  • General Practice Dentistry
  • Clifton, NJ
National Provider Identifier
1245564418
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
054547 Issued in NY
Practice address
9 Harrison PL Apt 4
Clifton, NJ 07011-1471
Phone
(973) 772-0888
NPI assigned
Sep 21, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 054547 NY Primary

Addresses

Primary practice location

9 Harrison PL Apt 4
Clifton, NJ 07011-1471

Mailing address

9 Harrison PL Apt 4
Clifton, NJ 07011-1471
Phone (973) 772-0888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
054547NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1245564418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HARRISON PL APT 4",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111471",
            "telephone_number": "973-772-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HARRISON PL APT 4",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111471",
            "telephone_number": "973-772-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLYANYK",
        "first_name": "ROMAN",
        "middle_name": "V",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

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