Romona Kennedy, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02270101 Issued in NJ

Practice address

22 Old Short Hills Rd
211
Livingston, NJ 07039-5604

Phone

(973) 994-7200

Fax

(973) 533-4419

NPI assigned

Jan 23, 2008

Last updated

Jan 23, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sparkle Dental Center LLC

  • General Practice Dentistry
  • Clifton, NJ
  • NPI 1275132854
  NPD
• Sparkle Dentistry Center LLC

  • General Practice Dentistry
  • Woodland Park, NJ
  • NPI 1821697400
  NPD

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1679750491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LDA 22 OLD SHORT HILLS ROAD",
            "address_2": "211",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395605",
            "telephone_number": "973-994-7200",
            "fax_number": "973-533-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 OLD SHORT HILLS RD",
            "address_2": "211",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395604",
            "telephone_number": "973-994-7200",
            "fax_number": "973-533-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "ROMONA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02270101",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02270101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan D Keith, MD
• Kiera Keller, PA-C
• Kelly Connell Counseling LLC
• Kristine Noel Kelly, RN, ANP-BC
• Patricia Kelly
• Kenneth T. Defusco M.D. PA
• Elliot S Kerven, MD
• Kessler Orthotic & Prosthetic Services Inc
• Kessler Orthotic and Prosthetic Inc
• Michael Kessler, M.D.

• Dentist in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.