MR. DENNIS H SANDROCK


Address: 2509 Park Ave, South Plainfield, NJ 07080-5300
Phone: 9087531800

MR. DENNIS H SANDROCK (NPI# 1184655425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184655425
Entity Type Individual
Full Name MR. DENNIS H SANDROCK
Other Name MR. DENNIS H SANDROCK
Practice Address 2509 Park Ave
South Plainfield
NJ 07080-5300
Mailing Address 2509 Park Avenue Suite 2a
South Plainfield
NJ 07080
Practice Telephone 9087531800
Practice Fax Number 9087532620
Mailing Telephone 9087531800
Mailing Fax Number 9087532620
Enumeration Date 2006-07-05
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
2769 NJ Behavioral Health & Social Service Providers

Office Location

Street Address 2509 PARK AVE
City SOUTH PLAINFIELD
State NJ
Zip Code 07080-5300

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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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Competitor

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City SOUTH PLAINFIELD
Zip Code 07080

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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