Robert Allen Wortzel, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22DI01187000 Issued in NJ

Practice address

1122 Route 22
Mountainside, NJ 07092-2812

Phone

(908) 654-5151

Fax

(908) 654-2713

NPI assigned

Sep 11, 2008

Sex

Male

Sole proprietor

Yes

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)

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 and National Provider Directory roles.

• Wortzel Integrative Dental Care, LLC

  • Dentist
  • Mountainside, NJ
  • NPI 1144625856
  NPD (past) Authorized official
• Integrative by L&M

  dba Integrative Dental Care

  • General Practice Dentistry
  • Mountainside, NJ
  • NPI 1356097109
  NPD (past)

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1770732901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 ROUTE 22",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922812",
            "telephone_number": "908-654-5151",
            "fax_number": "908-654-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 ROUTE 22",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922812",
            "telephone_number": "908-654-5151",
            "fax_number": "908-654-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTZEL",
        "first_name": "ROBERT",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01187000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Whittemore, LPC
• Janice Martinez Woerner, M.S., OTR/L
• Lisa Wolf, LCSW
• Wortzel Integrative Dental Care, LLC
• Lisa Abigail Wortzel, DMD
• Julie Wright, M.S., C.C.C., S.L.P
• Krishan Yalamanchi, MD
• Jennifer Hannah Yanow, M.D.
• Donna Michele Yarem, PT
• Michelle L Zaffuto

• Dentist in Mountainside, NJ
• Providers in Mountainside, 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 11, 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.