Robert Emil Wollman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01141400 Issued in NJ

Practice address

712 Knollwood Drive
Middletown, NJ 07748-2850

Phone

(732) 671-5280

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659429421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 KNOLLWOOD DR",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482850",
            "telephone_number": "732-671-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 KNOLLWOOD DRIVE",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482850",
            "telephone_number": "732-671-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLMAN",
        "first_name": "ROBERT",
        "middle_name": "EMIL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01141400",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "035010-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01292855",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Widman
• William C. Anania, DPM, PC
• Melanie Williams, R.D. R.D.N.
• Ryan Justice Williams
• Sarah Wolfson
• Monica Wright, LPC, LPAT, ATR-BC
• Lawrence Wen Wu, MD
• YMCA of Greater Monmouth County
• YMCA of the Jersey Shore
• YMCA of the Jersey Shore

• General Practice Dentistry in Middletown, NJ
• Providers in Middletown, 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 8, 2007; 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.