Organization Active NPI

Rockaway Dental Associates, LLC

  • Customized Equipment (DME)
  • Rockaway, NJ
National Provider Identifier
1669023834
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
ROCKAWAY DENTAL ASSOCIATES, LLC
Practice address
20 Union St.
Rockaway, NJ 07866
Phone
(973) 627-8900
NPI assigned
Sep 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Authorized official

Name
Jean-Michel GignacNPI 1538214630
Title
Officer
Phone
(973) 568-2440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

20 Union St.
Rockaway, NJ 07866

Mailing address

PO Box 4378
Wayne, NJ 07474-4378
Phone (973) 568-2440

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1669023834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4378",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074744378",
            "telephone_number": "973-568-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 UNION ST.",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "07866",
            "telephone_number": "973-627-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKAWAY DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "GIGNAC",
        "authorized_official_first_name": "JEAN-MICHEL",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "973-568-2440"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.