Jeffrey Lane Rothenberg in Wyckoff - General Practice
Jeffrey Lane Rothenberg - NPI 1689726457
Jeffrey Lane Rothenberg is a General Practice in Wyckoff, New Jersey. Jeffrey Lane Rothenberg practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jeffrey Lane Rothenberg is 1689726457. The last update date is 2007-07-08.
Jeffrey Lane Rothenberg's current location address is 260 Godwin Ave, Wyckoff, New Jersey. You can contact this provider via phone number 2018918778. The mailing address for Jeffrey Lane Rothenberg is 260 Godwin Ave, Wyckoff, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Lane Rothenberg |
|---|---|
| Address | 260 Godwin Ave, Wyckoff, New Jersey |
| Phone Number | 2018918778 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1689726457 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 260 Godwin Ave |
|---|---|
| City | Wyckoff |
| State | New Jersey (NJ) |
| Post Code | 74815200 |
| Phone Number | 2018918778 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 11379 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identifier code issued to Jeffrey Lane Rothenberg by the Centers for Medicare & Medicaid Services?
The Jeffrey Lane Rothenberg has been assigned the NPI (National Provider Identifier) 1689726457 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jeffrey Lane Rothenberg is physically located?
The Jeffrey Lane Rothenberg is physically situated at the following address: 260 Godwin Ave, Wyckoff, NJ, 74815200.
What is Jeffrey Lane Rothenberg's area of expertise and its corresponding taxonomy classification?
The Jeffrey Lane Rothenberg's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1689726457 to Jeffrey Lane Rothenberg?
The Jeffrey Lane Rothenberg received its 1689726457 assignment from the Centers for Medicare & Medicaid Services on 2007-01-18.
As of what date were the details related to Jeffrey Lane Rothenberg most recently updated or revised?
The information pertaining to Jeffrey Lane Rothenberg, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.