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Deactivated NPI 1497922629 Deactivated / Inactive NPI Male Practitioner

Dr. Emanuel Roman , DDS

Dentist - General Practice • Teaneck, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Emanuel Roman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 16, 2008
NPI Deactivation Date December 18, 2020
Total Practice Duration ~12 Years of Practice (2008 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Emanuel Roman, DDS was a registered Dentist - General Practice practicing in Teaneck, NJ. Throughout an active medical career spanning 12 years, Dr. Roman provided care at the practice location at 89 MIDWOOD ROAD until profile deactivation on 2020-12-18.

Practice Location & Contact Primary Location

Practice Address

89 Midwood Road

Teaneck, NJ 07666

Telephone 2018332123

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Teaneck, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
30 Specialists

Practicing in Teaneck, NJ (4316 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NJ 22D100707400

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 18, 2020

Record deactivated on December 18, 2020

NPI Profile Active May 16, 2008

NPI status registered as active in NPPES database

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Updated Practice Location May 16, 2008

Registered at 89 MIDWOOD ROAD, TEANECK, NJ 07666 (Tel: 2018332123)

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Updated Business Mailing Address May 16, 2008

Registered at 89 MIDWOOD ROAD, TEANECK, NJ 07666 (Tel: 2018332123)

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Provider Name / Credentials Updated May 16, 2008

Recorded as EMANUEL ROMAN, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2008

Dentist (License #22D100707400 in NJ)

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Initial NPI Registration & Enumeration May 16, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497922629
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2008
Last Update: May 16, 2008
Deactivation Date: December 18, 2020

Mailing Address

89 Midwood Road

Teaneck, NJ 07666

Phone: 2018332123

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.