DR. BENNO GEORGE ROESCH MD NPI 1700034592

NPI Information

  • NPI: 1700034592
  • Provider Name: DR. BENNO GEORGE ROESCH, MD
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • Address: 241 MAIN ST
    HACKENSACK, NJ
    ZIP 07601
  • Phone: (201) 678-0288

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NPI Details

DR. Benno George Roesch, MD is a general practice in Hackensack, NJ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Benno George Roesch, MD NPI is 1700034592. 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:

241 MAIN ST
HACKENSACK, NJ
ZIP 07601-715
Phone: (201) 678-0288

The enumeration date for this NPI number is 9/4/2008 and was last updated on 9/4/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice25MA07669900NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E23617MEDICARE UPINCOLORADO

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: 11/21/2025

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