Ira Neal Rosenberg, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

038209-1 Issued in NY

Practice address

251 Godwin Ave
Midland Park, NJ 07432-1882

Phone

(201) 445-2797

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• The Smile Spa of North Jersey,LLC

  • General Practice Dentistry
  • Midland Park, NJ
  • NPI 1710151089
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801979513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 GLEN KEITH RD # U",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115423514",
            "telephone_number": "516-674-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 GODWIN AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321882",
            "telephone_number": "201-445-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "IRA",
        "middle_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "038209-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1301802",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ridgewood Nursing Home Health, LLC
• Laura V. Rodriguez-Frank, MD
• Michelle Roglieri, LCSW, MSW
• Mayra Romero, PT, DPT
• Rose Celia Rosato, MA LPC
• Debra Robynn Rosenblatt, D.D.S
• Timothy J Roy
• Emily S Rubinstein, PH D
• Carmine Carlo Russo, DMD, MS
• Jennifer Sadowsky, LCSW

• General Practice Dentistry in Midland Park, NJ
• Providers in Midland Park, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.