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DR. RONALD FEDERMAN D.D.S. NPI 1124016472


NPI Information

NPI: 1124016472
Provider Name: DR. RONALD FEDERMAN, D.D.S.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
40 N VAN BRUNT ST
SUITE 29
ENGLEWOOD, NJ
ZIP 07631
Phone: (201) 894-0888
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DR. Ronald Federman, D.D.S. is an oral and maxillofacial surgery dentist in Englewood, NJ. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Ronald Federman, D.D.S. NPI is 1124016472. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

40 N VAN BRUNT ST
SUITE 29
ENGLEWOOD, NJ
ZIP 07631-740
Phone: (201) 894-0888
Fax: (201) 871-4622

The enumeration date for this NPI number is 10/11/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryNJ10543NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U01539MEDICARE UPINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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