Individual provider Active NPI

Joshua Steven Rolnick, D.D.S.

  • Dentist
  • N Bellmore, NY
National Provider Identifier
1285830208
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
053945 Issued in NY
Practice address
1179 Newbridge Rd
N Bellmore, NY 11710-1650
Phone
(516) 221-2271
NPI assigned
Jun 26, 2007
Last updated
Apr 23, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 053945 NY Primary

Addresses

Primary practice location

1179 Newbridge Rd
N Bellmore, NY 11710-1650

Mailing address

1949 Norshon Rd
Merrick, NY 11566-4628
Phone (516) 610-3822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150616001025 NY Order and Referring Only - DentistPractitioner - Dentist 9335450410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
053945NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
North Bellmore Dental Associates PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240444800000",
    "number": "1285830208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 NORSHON RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664628",
            "telephone_number": "516-610-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1179 NEWBRIDGE RD",
            "city": "N BELLMORE",
            "state": "NY",
            "postal_code": "117101650",
            "telephone_number": "516-221-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLNICK",
        "first_name": "JOSHUA",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2009-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "053945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Bellmore, NY

Sources for this page

Verify at the official NPI Registry.