Brooke Michele Skolnick, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02349300 Issued in NJ

Practice address

103 Eisenhower Pkwy Ste 102
Roseland, NJ 07068-1029

Phone

(973) 288-2723

NPI assigned

Feb 18, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Childsmiles, PA

  • Dentist
  • Newark, NJ
  • NPI 1568618304
  NPD
• Child Smiles Spec LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Newark, NJ
  • NPI 1184099251
  NPD (past)

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1750559241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 EISENHOWER PKWY STE 102",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 EISENHOWER PKWY STE 102",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681029",
            "telephone_number": "973-288-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOLNICK",
        "first_name": "BROOKE",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-18",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02349300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Sernio
• Prachi Shah
• Shelly D'Amato LLC
• SHP V Roseland, LLC
• Sophia Adrineh Simonian, MS, RDN
• Stephen Smith, MD
• Social Strides, LLC
• Beth Spiegel Sonnenberg, LCSW
• Poonam M Sooknanan, DPT
• Diana L. Spangenberg, A.P.N.-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.