Individual provider Active NPI

Catherine Marie Wroclawski, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Sparta, NJ
National Provider Identifier
1457983157
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
07668 Issued in NJ
Practice address
171 Woodport Rd
Sparta, NJ 07871-2633
Phone
(973) 729-7979
NPI assigned
Feb 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 22DI02873600 NJ
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS044664 PA
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 07668 NJ Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D14480 MN
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 77538 MN
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN25815 FL

Addresses

Primary practice location

171 Woodport Rd
Sparta, NJ 07871-2633

Mailing address

171 Woodport Rd
Sparta, NJ 07871-2633
Phone (973) 729-7979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200728000792 MN Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 7315361045 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic CurrentSince Jul 6, 2020 Accepting new patients
Mayo Clinic CurrentSince Jul 6, 2020 Accepting new patients
Mayo Clinic Current Accepting new patients

Locations

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1457983157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 WOODPORT RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712633",
            "telephone_number": "973-729-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 WOODPORT RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712633",
            "telephone_number": "973-729-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WROCLAWSKI",
        "first_name": "CATHERINE",
        "middle_name": "MARIE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02873600",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS044664",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NJ",
            "license": "07668",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "D14480",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MN",
            "license": "77538",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN25815",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NJ

Sources for this page

Verify at the official NPI Registry.