Suburban Periodontics and Implants LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

TIN Issued in NJ

Legal business name

SUBURBAN PERIODONTICS AND IMPLANTS LLC

Practice address

75 Main Street
Suite 107
Millburn, NJ 07041

Phone

(973) 467-5567

Fax

(973) 467-5639

NPI assigned

Aug 17, 2006

Last updated

Jun 20, 2023By 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. Cheryl J Goren Robins, DDSNPI 1164446365

Title

Partner

Phone

(973) 467-5567

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cheryl J Goren Robins, DDS

  • Periodontics
  • Millburn, NJ
  • NPI 1164446365
  NPD Authorized official

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1639283948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MAIN STREET",
            "address_2": "SUITE 107",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "07041",
            "telephone_number": "973-467-5567",
            "fax_number": "973-467-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MAIN STREET",
            "address_2": "SUITE 107",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "07041",
            "telephone_number": "973-467-5567",
            "fax_number": "973-467-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN PERIODONTICS AND IMPLANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "GOREN ROBINS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "973-467-5567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "TIN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard I Stillman, M.D.
• Stuart Baskin, M.D., P.a.
• Stuart D. Shoengold, M.D., P.a. (Essex Urology Associates)
• Shu Su
• Norka J Suarez, MD
• Surgical Center at Millburn, LLC
• Sweet Tooth Pediatric Dentistry
• Synapse Spine LLC
• Richard Michael Taddeo
• Debra R Tarantino, M.D.

• Periodontics in Millburn, NJ
• Providers in Millburn, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.