Organization Active NPI

Tamar Roodner DDS, LLC

Doing business as Madison Dental Associates

  • General Practice Dentistry
  • Madison, NJ
National Provider Identifier
1356368039
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI15389 Issued in NJ
Legal business name
TAMAR ROODNER DDS, LLC
Doing business as
Madison Dental Associates
Practice address
50 Main St
Madison, NJ 07940-1865
Phone
(973) 377-2361
Fax
(973) 377-2667
NPI assigned
Jul 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tamar Roodner, DDSNPI 1689691362
Title
Owner
Phone
(973) 377-2361

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
General Practice Dentistry 1223G0001X DI15389 NJ Primary

Addresses

Primary practice location

50 Main St
Madison, NJ 07940-1865

Mailing address

50 Main St
Madison, NJ 07940-1865
Phone (973) 377-2361

Other names 1

  • Madison Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

50 Main St
Madison, NJ 07940
Phone (973) 301-2060

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356368039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MAIN ST",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401865",
            "telephone_number": "973-377-2361",
            "fax_number": "973-377-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MAIN ST",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401865",
            "telephone_number": "973-377-2361",
            "fax_number": "973-377-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMAR ROODNER DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROODNER",
        "authorized_official_first_name": "TAMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-377-2361",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI15389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.