Rossy Pediatric Dentistry, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

21D102443800 Issued in NJ

Legal business name

ROSSY PEDIATRIC DENTISTRY, LLC

Practice address

11 Heather LN
Randolph, NJ 07869-3332

Phone

(908) 510-2654

NPI assigned

Feb 15, 2016

Last updated

Feb 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Rossy, DMD

Title

Member

Phone

(908) 510-2654

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1578922951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 ROUTE 10 E",
            "address_2": "BUILDING 1, UNIT 2",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692142",
            "telephone_number": "973-989-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HEATHER LN",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078693332",
            "telephone_number": "908-510-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSSY PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "ROSSY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "908-510-2654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "21D102443800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Roberts, D.D.S.
• Melissa Romano
• Shelly A Roseff, M.D.
• Edward Abraham Rosenbaum, DMD
• Joanne A Rosenblum, MSW
• Danielle Rossy
• Michael Roumes
• Alysia Lynn Ruffin
• .Gerri Ryan, D.C.
• Emma Shay Ryan, BCBA

• Dental Clinic/Center in Randolph, NJ
• Providers in Randolph, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.