Individual provider Active NPI

Ronda Sue Fleisher, D.M.D.

  • Dentist
  • Manalapan, NJ
National Provider Identifier
1629301403
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI13989 Issued in NJ
Practice address
221 Taylors Mills Rd
Manalapan, NJ 07726-3229
Phone
(732) 303-0322
Fax
(732) 683-0316
NPI assigned
Sep 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DI13989 NJ Primary

Addresses

Primary practice location

221 Taylors Mills Rd
Manalapan, NJ 07726-3229

Mailing address

221 Taylors Mills Road
Manalapan, NJ 07726
Phone (732) 303-0322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DI13989NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252627200000",
    "number": "1629301403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 TAYLORS MILLS ROAD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "07726",
            "telephone_number": "732-303-0322",
            "fax_number": "732-683-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 TAYLORS MILLS RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263229",
            "telephone_number": "732-303-0322",
            "fax_number": "732-683-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEISHER",
        "first_name": "RONDA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI13989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.