Randolph J Rosen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI019030 Issued in NJ

Practice address

22 Main St
Eatontown, NJ 07724-3432

Phone

(732) 542-2326

NPI assigned

Dec 16, 2006

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285796979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077240341",
            "telephone_number": "732-542-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MAIN ST",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243432",
            "telephone_number": "732-542-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "RANDOLPH",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI019030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Michaela Rodriguez
• Dauda M Rogers, MD
• Kaitlin Rogers, DNP AGACNP
• Meghan Rogers, APN
• Victoria Romanyuk
• Jeffrey Rosenzweig, DC
• Sara Ruth Ross-Finkelstein
• Jane Ross
• Shanda Pearl Ross, O.D.
• Meagan Roth, LAC

• General Practice Dentistry in Eatontown, NJ
• Providers in Eatontown, NJ by specialty
• General Practice Dentistry 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.