Allan Roffe, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045068 Issued in NY

Practice address

56 Atlantic Ave
Freeport, NY 11520-5038

Phone

(516) 208-8300

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ajr Family Dental PLLC

  • General Practice Dentistry
  • Freeport, NY
  • NPI 1013338417
  NPD (past) Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1518009208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 MEADOWVIEW AVE",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572106",
            "telephone_number": "516-295-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 ATLANTIC AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115205038",
            "telephone_number": "516-208-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROFFE",
        "first_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01574827",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX",
            "identifier": "464065203",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXID",
            "identifier": "050591694",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald D Robinson II
• Lizel Robinson Robinson
• Elizabeth Rodriguez
• Jacinda Rodriguez, LPN
• Zoraida Rodriguez
• Jacob Roit, D.D.S.
• Marcin Romanczyk, DPM
• Garvin P. Romane, CCC-SLP
• Elizabeth Romero, DENTAL HYGIENEST
• Rocio Romero

• General Practice Dentistry in Freeport, NY
• Providers in Freeport, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.