Robert Pfohman, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02865600 Issued in NJ

Practice address

31 Manor Ter
Orange, NJ 07050-1634

Phone

(503) 314-1845

NPI assigned

Apr 5, 2022

Last updated

Apr 5, 2022By the provider in NPPES

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

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1376284315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MANOR TER",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070501634",
            "telephone_number": "503-314-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MANOR TER",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070501634",
            "telephone_number": "503-314-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFOHMAN",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02865600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megal Patterson Jr., COTA
• Dileiny Paulino, LAC
• Christina Paulose
• Simmone Victoria Payne Powell
• Jane Alison Penola, LAC
• Love Philippe
• Trishan T Phillips, CRANIAL PROSTHESIS
• Pinnacle Chiropractic Health and Wellness Center, LLC
• Pioneer Homecare of NJ, Inc.
• Pioneer Hospice of NJ, Inc.

• General Practice Dentistry in Orange, NJ
• Providers in Orange, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.