Active NPIIndividual providerSole proprietor

Dr. Jeffrey L Rothenberg, DDS

Dentist, General Practice in Wyckoff, New Jersey

NPI Number1689726457
Practice location
260 Godwin Ave, Wyckoff, NJ 07481-5200
Fax
—
Last updated
July 8, 2007

Jeffrey Lane Rothenberg is a Dentist, General Practice based in Wyckoff, NJ. Jeffrey Lane Rothenberg practices in Wyckoff, NJ and has the professional credentials of DDS. The NPI Number for Jeffrey Lane Rothenberg is 1689726457 and holds a License No. 11379 (NJ). The current practice location address for Jeffrey Lane Rothenberg is 260 Godwin Ave, Wyckoff, NJ 07481-5200 and can be reached out via phone at 201-891-8778.

Provider Profile Details

NPI Number
1689726457
Provider Name
Jeffrey Lane Rothenberg
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
260 Godwin Ave, Wyckoff, NJ 07481-5200
Phone Number
201-891-8778
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
January 18, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
260 Godwin Ave
Wyckoff, NJ 07481-5200
Zip
07481-5200
Phone Number
201-891-8778
Wyckoff, NJ 07481Get directions →

Provider Business Mailing Address Details

Address
179 Fox Hollow RD
Wyckoff, NJ 07481-2512
City
Wyckoff
State
NJ
Zip
07481-2512
Phone Number
201-689-9432

License Information

License Number
11379
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · 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 Dr. Jeffrey L Rothenberg, DDS?

The NPI number of Dr. Jeffrey L Rothenberg, DDS is 1689726457. It was assigned on January 18, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Jeffrey L Rothenberg, DDS?

Dr. Jeffrey L Rothenberg, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 11379.

Where does Dr. Jeffrey L Rothenberg, DDS practice?

The practice location is 260 Godwin Ave, Wyckoff, NJ 07481-5200. The office can be reached at 201-891-8778 (phone).

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 1689726457 directly on the NPPES registry website.

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