Organization Active NPI

RJ Dental, LLC

  • General Practice Dentistry
  • Roselle, NJ
National Provider Identifier
1811220213
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI22575 Issued in NJ
Legal business name
RJ DENTAL, LLC
Practice address
121 - 125 Chestnut St., Ste. 201
Roselle, NJ 07203
Phone
(908) 241-6455
Fax
(908) 241-6367
NPI assigned
Sep 16, 2009
Last updated
Jan 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Authorized official

Name
Dr. Richard E Buffong, D.M.D.NPI 1700985488
Title
Owner
Phone
(908) 241-6455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DI22575 NJ Primary

Addresses

Primary practice location

121 - 125 Chestnut St., Ste. 201
Roselle, NJ 07203

Mailing address

121-125 Chestnut St
Suite 201
Roselle, NJ 07203
Phone (908) 241-6455

National Provider Directory

National Provider Directory

Locations

121 Chestnut St
Ste 201
Roselle, NJ 07203
Phone (908) 241-6455

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1811220213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121-125 CHESTNUT ST",
            "address_2": "SUITE 201",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "07203",
            "telephone_number": "908-241-6455",
            "fax_number": "908-241-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 - 125 CHESTNUT ST., STE. 201",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "07203",
            "telephone_number": "908-241-6455",
            "fax_number": "908-241-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RJ DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "BUFFONG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-241-6455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI22575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.