Organization Active NPI

Rockaway Orthodontics, PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rockaway, NJ
National Provider Identifier
1316202963
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
22DI02197300 Issued in NJ
Legal business name
ROCKAWAY ORTHODONTICS, PA
Practice address
141 US Highway 46
Suite 101
Rockaway, NJ 07866-4018
Phone
(973) 627-2229
Fax
(973) 627-2291
NPI assigned
Jul 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Authorized official

Name
Dr. Melissa J Grieder-Roberto, DMDNPI 1619051224
Title
Owner
Phone
(973) 627-2229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 22DI02197300 NJ Primary

Addresses

Primary practice location

141 US Highway 46
Suite 101
Rockaway, NJ 07866-4018

Mailing address

141 US Highway 46
Suite 101
Rockaway, NJ 07866-4018
Phone (973) 627-2229

National Provider Directory

National Provider Directory

Locations

141 US Highway 46
Ste 101
Rockaway, NJ 07866
Phone (973) 627-2229

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1316202963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 US HIGHWAY 46",
            "address_2": "SUITE 101",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078664018",
            "telephone_number": "973-627-2229",
            "fax_number": "973-627-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 US HIGHWAY 46",
            "address_2": "SUITE 101",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078664018",
            "telephone_number": "973-627-2229",
            "fax_number": "973-627-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKAWAY ORTHODONTICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "GRIEDER-ROBERTO",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-627-2229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI02197300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.