NPIMap

Organization Active NPI

Robert Kolatac, DMD PA

  • Dentist
  • Teaneck, NJ
National Provider Identifier
1699194936
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI14183 Issued in NJ
Legal business name
ROBERT KOLATAC, DMD PA
Practice address
1432 Queen Anne Rd
Teaneck, NJ 07666-3518
Phone
(201) 833-2058
Fax
(201) 833-9626
NPI assigned
Apr 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Authorized official

Name
Dr. Robert Kolatac, DMDNPI 1174744924
Title
Pres
Phone
(201) 833-2058

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DI14183 NJ Primary

Addresses

Primary practice location

1432 Queen Anne Rd
Teaneck, NJ 07666-3518

Mailing address

1432 Queen Anne Rd
Teaneck, NJ 07666-3518
Phone (201) 833-2058

National Provider Directory

National Provider Directory

Locations

1432 Queen Anne Rd
Teaneck, NJ 07666
Phone (201) 833-2058

Practitioners & affiliated clinicians

Practitioners 2

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": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1699194936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 QUEEN ANNE RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663518",
            "telephone_number": "201-833-2058",
            "fax_number": "201-833-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 QUEEN ANNE RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663518",
            "telephone_number": "201-833-2058",
            "fax_number": "201-833-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT KOLATAC, DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "KOLATAC",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "201-833-2058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI14183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.