Joel C Gelbman, DDS

Individual provider Active NPI Prosthodontics · Roselle Park, NJ

NPI 1497767552 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1497767552
Entity type
Individual (NPI type 1)
Primary specialty
Prosthodontics 1223P0700X
License
DDOOO8550 (NJ)
Practice address
141 Chestnut St
Roselle Park, NJ 07204-2261
Phone
(908) 245-1745
Fax
(908) 245-1230
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DDOOO8550NJMDProsthodontist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DDOOO8550 NJ Yes

Addresses

Primary practice location

141 Chestnut St
Roselle Park, NJ 07204-2261

Mailing address

141 Chestnut St
Roselle Park, NJ 07204-2261
Phone (908) 245-1745

Other providers in Roselle Park, NJ

All providers in Roselle Park, NJ · Prosthodontics in New Jersey

Sources for this page

Verify at the official NPI Registry.