Victoria J. Roeder, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DI20385 Issued in NJ

Practice address

211 W Millstream Rd
Cream Ridge, NJ 08514-2356

Phone

(609) 758-9595

NPI assigned

Oct 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720160906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W MILLSTREAM RD",
            "city": "CREAM RIDGE",
            "state": "NJ",
            "postal_code": "085142356",
            "telephone_number": "609-758-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W MILLSTREAM RD",
            "city": "CREAM RIDGE",
            "state": "NJ",
            "postal_code": "085142356",
            "telephone_number": "609-758-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEDER",
        "first_name": "VICTORIA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "DI20385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA",
            "identifier": "2120385",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "869326",
            "identifier": "UNITED CONCORDIA",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "90001024500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Sue Peller, M.D.
• Plumsted Chiropractic Center (millstone chiropractic center)
• Rainbow Skies Speech Language Therapy
• Doreen Randolph, LPC
• Rasik M. Jivani MD PA
• Rooted & Rising Therapy Services, LLC
• Herbert Harold Rosengarten, M.D.
• Richard B Siegell I
• Giuseppina Szbanz, APP
• Michael R Tapia, D.C.

• Pediatric Dentistry in Cream Ridge, NJ
• Providers in Cream Ridge, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.