Nicholas C Derobertis, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16071 Issued in NJ

Practice address

354 Old Hook Rd
Suite 202
Westwood, NJ 07675-3246

Phone

(201) 666-2125

Fax

(201) 666-9576

NPI assigned

Jul 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518988088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 OLD HOOK RD",
            "address_2": "SUITE 202",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753246",
            "telephone_number": "201-666-2125",
            "fax_number": "201-666-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 OLD HOOK RD",
            "address_2": "SUITE 202",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753246",
            "telephone_number": "201-666-2125",
            "fax_number": "201-666-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROBERTIS",
        "first_name": "NICHOLAS",
        "middle_name": "C",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "16071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diabetes Management Services, LLC
• Maria Isabel Diaz Castro
• Paul M Dicker, MD
• Dino Ditrolio
• Joanna Marie Disalvo, MSN, APRN, FNP-C

• General Practice Dentistry in Westwood, NJ
• Providers in Westwood, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.