Active NPIIndividual provider

Roman Khodosh, DDS

Dentist in West New York, New Jersey

NPI Number1598977514
Practice location
5918 Bergenline Ave, Suite 200, West New York, NJ 07093-1392
Fax
201-861-2999
Last updated
July 8, 2007

Roman Khodosh is a Dentist based in West New York, NJ. Roman Khodosh practices in West New York, NJ and has the professional credentials of DDS. The NPI Number for Roman Khodosh is 1598977514 and holds a License No. 22DI02185500 (NJ). The current practice location address for Roman Khodosh is 5918 Bergenline Ave, Suite 200, West New York, NJ 07093-1392 and can be reached out via phone at 201-681-6555 and via fax at 201-861-2999.

Provider Profile Details

NPI Number
1598977514
Provider Name
Roman Khodosh
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
5918 Bergenline Ave, Suite 200, West New York, NJ 07093-1392
Phone Number
201-681-6555
Fax Number
201-861-2999
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
May 3, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
5918 Bergenline Ave
Suite 200
West New York, NJ 07093-1392
Zip
07093-1392
Phone Number
201-681-6555
Fax Number
201-861-2999
West New York, NJ 07093Get directions →

Provider Business Mailing Address Details

Address
5918 Bergenline Ave
Suite 200
West New York, NJ 07093-1392
City
West New York
State
NJ
Zip
07093-1392
Phone Number
201-681-6555
Fax Number
201-861-2999

License Information

License Number
22DI02185500
License State
NJ
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Roman Khodosh, DDS?

The NPI number of Roman Khodosh, DDS is 1598977514. It was assigned on May 3, 2007 and is currently active in the NPPES registry.

What is the specialty of Roman Khodosh, DDS?

Roman Khodosh, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI02185500.

Where does Roman Khodosh, DDS practice?

The practice location is 5918 Bergenline Ave, Suite 200, West New York, NJ 07093-1392. The office can be reached at 201-681-6555 (phone) or 201-861-2999 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598977514 directly on the NPPES registry website.

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