Roger Warren, DDS, PA

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DI009492 Issued in NJ

Legal business name

ROGER WARREN, DDS, PA

Practice address

1001 Clifton Ave
Suite 2a
Clifton, NJ 07013-3586

Phone

(973) 471-5600

Fax

(973) 471-4652

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Roger Nelson Warren, D.D.S.

Title

President

Phone

(973) 471-5600

Specialties & licenses 1

Addresses

Other names 1

• Clifton Periodontics Other name

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407916968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CLIFTON AVE",
            "address_2": "SUITE 2A",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133586",
            "telephone_number": "973-471-5600",
            "fax_number": "973-471-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CLIFTON AVE",
            "address_2": "SUITE 2A",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133586",
            "telephone_number": "973-471-5600",
            "fax_number": "973-471-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER WARREN, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-471-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "DI009492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clifton Periodontics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberly Rodriguez, LSW
• Mayra Joselyn Rodriguez
• Ramon Luis Rodriguez
• Valeria Rodriguez
• Yanela Rodriguez, TSLD
• Larry Lee Rogers
• Esteban Rojas, MSN, FNP-C, CCRN,RRT
• Roman Vashurov (Lab X Health Plus)
• Melinda Roman-Casillas
• Astride Romelus

• Periodontics in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Periodontics in New Jersey

• 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.