Roshanak Elmendorf, DDS is a
Dentist based in Bloomingdale, New Jersey. Roshanak Elmendorf is licensed to practice in New Jersey (license number D18731) and her current practice location is
142 Main Street, Bloomingdale, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(973) 283-2900.
NPI number for Roshanak Elmendorf is 1871669408 and her current mailing address is Po Box 300, 142 Main St, Bloomingdale, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871669408.
Healthcare Provider's Profile
| Full Name | Roshanak Elmendorf |
|---|
| Gender | Female |
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| Speciality | Dentist |
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| Location | 142 Main Street, Bloomingdale, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1871669408
- Provider Enumeration Date: 11/27/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Roshanak Elmendorf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871669408 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | D18731 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Roshanak Elmendorf is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Roshanak Elmendorf, DDS
Po Box 300, 142 Main St,
Bloomingdale, NJ 07403
Ph: (973) 283-2900 | Roshanak Elmendorf, DDS
142 Main Street,
Bloomingdale, NJ 07403
Ph: (973) 283-2900 |
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