Organization Active NPI

Roseberry Family Dental

  • General Practice Dentistry
  • Phillipsburg, NJ
National Provider Identifier
1801813530
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI20067 Issued in NJ
Legal business name
ROSEBERRY FAMILY DENTAL
Practice address
224 Roseberry St
Suite #7
Phillipsburg, NJ 08865-1687
Phone
(908) 859-5600
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Philip Anthony Baldo, DMD
Title
President
Phone
(908) 859-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DI20067 NJ Primary

Addresses

Primary practice location

224 Roseberry St
Suite #7
Phillipsburg, NJ 08865-1687

Mailing address

224 Roseberry St
Suite #7
Phillipsburg, NJ 08865-1687
Phone (908) 859-5600

National Provider Directory

National Provider Directory
Tax ID family
Roseberry Family Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801813530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 ROSEBERRY ST",
            "address_2": "SUITE #7",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651687",
            "telephone_number": "908-859-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 ROSEBERRY ST",
            "address_2": "SUITE #7",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651687",
            "telephone_number": "908-859-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEBERRY FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALDO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-859-5600",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI20067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.