Individual provider Active NPI

Tamar M Roz, D.D.S.

  • Dentist
  • Woodmere, NY
National Provider Identifier
1437373560
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
050305 Issued in NY
Practice address
14 Franklin PL
Woodmere, NY 11598-1265
Phone
(516) 295-1900
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 050305 NY Primary

Addresses

Primary practice location

14 Franklin PL
Woodmere, NY 11598-1265

Mailing address

14 Franklin PL
Woodmere, NY 11598-1265
Phone (516) 295-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160404000544 NY Order and Referring Only - DentistPractitioner - Dentist 8729385901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050305NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1437373560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 FRANKLIN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981265",
            "telephone_number": "516-295-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 FRANKLIN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981265",
            "telephone_number": "516-295-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZ",
        "first_name": "TAMAR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "050305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

Verify at the official NPI Registry.