Active NPI
Gary Rothland Hartwell, D.D.S.
- Endodontics
- Newark, NJ
National Provider Identifier
1396700589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 01582
- Practice address
- 110 Bergen St
Umdnj-NJDS, C-790
Newark, NJ 07103-2495 - Phone
- (973) 972-5329
- Fax
- (973) 972-0328
- NPI assigned
- Apr 19, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 01582 | NJ | Primary |
Addresses
Primary practice location
110 Bergen St
Umdnj-NJDS, C-790
Newark, NJ 07103-2495
Mailing address
4107 W Franklin St
Richmond, VA 23221-1107
Phone (804) 353-3175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01582 | NJ | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1396700589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4107 W FRANKLIN ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232211107",
"telephone_number": "804-353-3175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 BERGEN ST",
"address_2": "UMDNJ-NJDS, C-790",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032495",
"telephone_number": "973-972-5329",
"fax_number": "973-972-0328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTWELL",
"first_name": "GARY",
"middle_name": "ROTHLAND",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NJ",
"license": "01582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.