Active NPI
Danielle Rossy
- Pediatric Dentistry
- Randolph, NJ
National Provider Identifier
1699074427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 22DI02528200
- Practice address
- 477 Route 10 E
Randolph, NJ 07869-2142 - Phone
- (973) 989-9040
- NPI assigned
- Mar 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Dentistry | 1223P0221X | 22DI02528200 | NJ | Primary |
Addresses
Primary practice location
477 Route 10 E
Randolph, NJ 07869-2142
Mailing address
477 Route 10 E
Randolph, NJ 07869-2142
Phone (973) 989-9040
Other practice location 1
295 E Chestnut Ave
Metuchen, NJ 08840-1553
Phone (732) 549-9473
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02528200 | NJ | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1699074427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "477 ROUTE 10 E",
"city": "RANDOLPH",
"state": "NJ",
"postal_code": "078692142",
"telephone_number": "973-989-9040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "477 ROUTE 10 E",
"city": "RANDOLPH",
"state": "NJ",
"postal_code": "078692142",
"telephone_number": "973-989-9040"
}
],
"practiceLocations": [
{
"address_1": "295 E Chestnut Ave",
"address_purpose": "LOCATION",
"city": "Metuchen",
"state": "NJ",
"postal_code": "088401553",
"country_code": "US",
"telephone_number": "732-549-9473",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSSY",
"first_name": "DANIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-18",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "22DI02528200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Randolph, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.