Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205828423 Individual Practitioner Male Practitioner

Dr. Jose Aristides Roa , DDS

Dentist - General Practice • Elmhurst, NY

Professional Overview & Biography Verified Profile Summary

Dr. Jose Roa, DDS is a registered healthcare professional specializing in Dentist - General Practice in Elmhurst, NY. Practice services are available at 4071 DENMAN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4071 Denman St

Elmhurst, NY 113731608

Telephone 7184761573
Fax 7184782485
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Elmhurst, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
50 Specialists

Practicing in Elmhurst, NY (8411 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 NY 044819

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
01460186 (NY)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 05, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 05, 2012

Registered at 4071 DENMAN ST, ELMHURST, NY 113731608 (Tel: 7184761573)

📍
Updated Business Mailing Address November 05, 2012

Registered at 4071 DENMAN ST, ELMHURST, NY 113731608 (Tel: 7184761573)

👤
Provider Name / Credentials Updated November 05, 2012

Recorded as JOSE ROA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2012

Dentist (License #044819 in NY)

🟢
Initial NPI Registration & Enumeration August 16, 2005

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: 1205828423
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2005
Last Update: November 05, 2012
Sole Proprietor: Yes

Mailing Address

4071 Denman St

Elmhurst, NY 113731608

Phone: 7184761573

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.