Organization Active NPI

Bernard N Rothman DDS PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Cinnaminson, NJ
National Provider Identifier
1306924550
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DI17816 Issued in NJ
Legal business name
BERNARD N ROTHMAN DDS PA
Practice address
1701 Wynnwood Dr
Suite 4
Cinnaminson, NJ 08077-3033
Phone
(856) 829-9666
Fax
(856) 829-4363
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Bernard N Rothman
Title
President
Phone
(215) 224-7757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DI17816 NJ Primary

Addresses

Primary practice location

1701 Wynnwood Dr
Suite 4
Cinnaminson, NJ 08077-3033

Mailing address

1701 Wynnwood Dr
Suite 4
Cinnaminson, NJ 08077-3033
Phone (856) 829-9666

National Provider Directory

National Provider Directory

Locations

1701 Wynwood Dr
Ste 4
Cinnaminson, NJ 08077
Phone (856) 786-2247

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1306924550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WYNNWOOD DR",
            "address_2": "SUITE 4",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773033",
            "telephone_number": "856-829-9666",
            "fax_number": "856-829-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 WYNNWOOD DR",
            "address_2": "SUITE 4",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773033",
            "telephone_number": "856-829-9666",
            "fax_number": "856-829-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARD N ROTHMAN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "ROTHMAN",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-224-7757"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "DI17816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cinnaminson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.