Individual provider Active NPI

Rochelle Michaela Frumkin, DMD

  • General Practice Dentistry
  • Lakewood, NJ
National Provider Identifier
1669935748
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02767000 Issued in NJ
Practice address
301 Madison Ave
Lakewood, NJ 08701-3266
Phone
(732) 363-0177
NPI assigned
Apr 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02767000 NJ Primary

Addresses

Primary practice location

301 Madison Ave
Lakewood, NJ 08701-3266

Mailing address

1015 S Park Ave
Highland Park, NJ 08904-2954

Other practice location 1

17 S Warren St
Dover, NJ 07801-4506
Phone (973) 328-3344

Other practice location 2

1 W Broadway
Paterson, NJ 07505-1014
Phone (973) 295-5741

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
22DI02767000NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1554595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1669935748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S PARK AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013266",
            "telephone_number": "732-363-0177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 S Warren St",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NJ",
            "postal_code": "078014506",
            "country_code": "US",
            "telephone_number": "973-328-3344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 W Broadway",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075051014",
            "country_code": "US",
            "telephone_number": "973-295-5741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRUMKIN",
        "first_name": "ROCHELLE",
        "middle_name": "MICHAELA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-07",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02767000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.