Lon Rosen

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01439000 Issued in NJ

Legal business name

LON ROSEN

Doing business as

A Smile Dentistry

Practice address

15-01 Broadway Ste 18
Fair Lawn, NJ 07410-6018

Phone

(201) 797-8100

NPI assigned

Apr 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lon J Rosen, DDS

Title

Owner

Phone

(201) 797-8100

Specialties & licenses 1

Addresses

Other names 1

• A Smile Dentistry Doing business as

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841312261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15-01 BROADWAY STE 18",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074106018",
            "telephone_number": "201-797-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-01 BROADWAY STE 18",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074106018",
            "telephone_number": "201-797-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LON ROSEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "LON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-797-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01439000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Smile Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Locicero, A.T.C.
• Stephen Lockwood, BCBA
• Monica Vazquez Loconti, PT, DPT
• Andrei Logvinenko, M.D.
• Nina Logvinenko, M.D.
• Allie Lopresti, MSW, LSW
• Nancy Lopusnak, LPN
• Mark E. Louie, EDD, LMHC, LPC
• Diana Lovermi
• Meredith Claire Lubas, NP

• General Practice Dentistry in Fair Lawn, NJ
• Providers in Fair Lawn, 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 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.