Brian Roth, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02769300 Issued in NJ

Practice address

625 N Maple Ave Ste 2
Ho Ho Kus, NJ 07423-1590

Phone

(201) 639-5665

NPI assigned

Aug 23, 2019

Sex

Male

Sole proprietor

No

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

Practice roles

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

• Arc Dental and Implant Center

  • Dental Clinic/Center
  • Montvale, NJ
  • NPI 1841145851
  NPD Authorized official

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1356998322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 ARMOUR RD",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074301845",
            "telephone_number": "201-264-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N MAPLE AVE STE 2",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231590",
            "telephone_number": "201-639-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02769300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ripple Effect Nutrition LLC
• Melanie Rose Rista, LSW
• Denise Rita Rizzo, APRN-C
• Josephine Cuore Romito, LCSW
• Alanna M Rooney, DPT
• Ariel Tzvi Rozenberg, LAC
• Melissa Russofranco
• Kathy J Ryu, LAC
• Marissa Sala, D.D.S.
• Rose Marie Santos-Martinez, O.T.R.

• Dentist in Ho Ho Kus, NJ
• Providers in Ho Ho Kus, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.