Roselle Commons Dental Center, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22DI02001800 Issued in NJ

Legal business name

ROSELLE COMMONS DENTAL CENTER, PC

Practice address

711 E 1St Ave Ste 5
Roselle, NJ 07203-1669

Phone

(908) 259-0505

Fax

(908) 259-9885

NPI assigned

Feb 22, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Simon Shalman

Title

Office Manager

Phone

(908) 259-0505

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Jane Shalman, D.D.S.

  • General Practice Dentistry
  • Roselle, NJ
  • NPI 1609864826
  NPD (past)

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1396914396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E 1ST AVE STE 5",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072031669",
            "telephone_number": "908-259-0505",
            "fax_number": "908-259-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E 1ST AVE STE 5",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072031669",
            "telephone_number": "908-259-0505",
            "fax_number": "908-259-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSELLE COMMONS DENTAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "SHALMAN",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "908-259-0505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI02001800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7353103",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Myra Estella Robinson, PH.D
• Naomi Rodas
• Jason Rosa, LCSW
• Roselle Board of Education
• Roselle Center Rita Pharmacy
• Roselle Podiatry Group, PA
• Louis Paul Ruales, PHARM D
• Rizza Anne Agcaoili Sabale
• Nicole Sylvia Sai
• Eric Saltisky, PHARMD

• Dental Clinic/Center in Roselle, NJ
• Providers in Roselle, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.