Edward Abraham Rosenbaum, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22DI01835700 Issued in NJ

Practice address

447 Route 10, Suite 5
Randolph Center for Oral & Maxillofacial Surgery
Randolph, NJ 07869

Phone

(973) 328-1555

Fax

(973) 328-3405

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

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.

• Randolph Oral Pathology Associates, LLC

  • Oral and Maxillofacial Pathology Dentistry
  • Randolph, NJ
  • NPI 1053745117
  NPD (past)
• Weill Cornell University Medical College

  • Women's Hospital
  • New York, NY
  • NPI 1538141536
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578660932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 ROUTE 10, SUITE 5",
            "address_2": "RANDOLPH CENTER FOR ORAL & MAXILLOFACIAL SURGERY",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "07869",
            "telephone_number": "973-328-1555",
            "fax_number": "973-328-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 ROUTE 10, SUITE 5",
            "address_2": "RANDOLPH CENTER FOR ORAL & MAXILLOFACIAL SURGERY",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "07869",
            "telephone_number": "973-328-1555",
            "fax_number": "973-328-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBAUM",
        "first_name": "EDWARD",
        "middle_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI01835700",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "0447431",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savanah Rae Rivera
• Robert Sander,MD
• Mary Elizabeth Roberts, D.D.S.
• Melissa Romano
• Shelly A Roseff, M.D.
• Joanne A Rosenblum, MSW
• Rossy Pediatric Dentistry, LLC
• Danielle Rossy
• Michael Roumes
• Alysia Lynn Ruffin

• Oral and Maxillofacial Surgery (Dentist) in Randolph, NJ
• Providers in Randolph, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.