Patricia Haemin Roh, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02730400 Issued in NJ

Practice address

711 Avenue C
Bayonne, NJ 07002-5833

Phone

(201) 437-3500

NPI assigned

Sep 8, 2016

Sex

Female

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.

• Seidman,Cohen,Herman,Normane,PA

  • Dentist
  • Bayonne, NJ
  • NPI 1356553556
  NPD (past)
• Dentex Dental Group

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1770861130
  NPD (past)
• Philadelphia Dental

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1306734447
  NPD (past)

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1619424520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070025833",
            "telephone_number": "201-437-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070025833",
            "telephone_number": "201-437-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROH",
        "first_name": "PATRICIA",
        "middle_name": "HAEMIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2022-07-13",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02730400",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS041046",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RJ Medical Services LLC
• RJ Medical Supplies, LLC
• Jacob Brentnell Robinson, MD
• Alexandra Rodrigues, RD
• Mina Rofail, PHARM. D
• Salvacion V Rollan, PHYSICAL THERAPIST
• Ronald F. Gerhard DDS, PA
• Roses Nothing But Roses
• Paul Joseph Roses, DC
• Peter F Rossi, DPM

• General Practice Dentistry in Bayonne, NJ
• Providers in Bayonne, 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 13, 2022; 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.