Dr Roger Edmund Johansen, DMD in Newark, NJ

Dr Roger Edmund Johansen, DMD is a medicare enrolled "Dentist - Prosthodontics" provider in Newark, New Jersey. His current practice location is 110 Bergen St, Njds Room D 837, Newark, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 972-4526.

Dr Roger Edmund Johansen is licensed to practice in New Jersey (license number 14977) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457484115.

Contact Information

	Dr Roger Edmund Johansen, DMD
	110 Bergen St, Njds Room D 837, Newark, NJ 07103-2495
	(973) 972-4526
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Roger Edmund Johansen
Gender	Male
Speciality	Dentist - Prosthodontics
Location	110 Bergen St, Newark, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457484115
Provider Enumeration Date: 03/13/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2567774730
Enrollment ID: I20150630002095

Medical Identifiers

Medical identifiers for Dr Roger Edmund Johansen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457484115	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0700X	Dentist - Prosthodontics	14977 (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. Dr Roger Edmund Johansen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Roger Edmund Johansen, DMD 518 Gregory Ave, A-105, Weehawken, NJ 07086-5706 Ph: (201) 920-9026	Dr Roger Edmund Johansen, DMD 110 Bergen St, Njds Room D 837, Newark, NJ 07103-2495 Ph: (973) 972-4526

Reviews and Comments

Dentist in Newark, NJ

Hoda Yousef, DMD MS Dentist Medicare: Medicare Enrolled Practice Location: 90 Bergen St Ste 7700, Newark, NJ 07103 Phone: 973-972-2444
Theodore Davis, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 804 Clinton Ave, Clinton Hill Dental Assoc, Newark, NJ 07108 Phone: 973-374-5200 Fax: 973-374-5609
Dr. Cheryl Lynn Biber, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 110 Bergen St, Umdnj - New Jersey Dental School, Newark, NJ 07103 Phone: 973-972-0833
Dr. Fatima D Tavares, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 411-419 Chestnut St, Unit 1b, Newark, NJ 07105 Phone: 973-732-3484
Yoon Weon Suh, Dentist Medicare: Not Enrolled in Medicare Practice Location: 223 Bloomfield Ave, Newark, NJ 07104 Phone: 973-435-8100
Dr. Ira J Saber, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 110 Bergen Street, Newark, NJ 07101 Phone: 973-972-4717 Fax: 973-972-7322
Dr. Ival G. Mcdermott, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: Umdnj-new Jersey Dental School, 110 Bergen Street, D830, Newark, NJ 07101 Phone: 973-972-3851

Dr Roger Edmund Johansen, DMD - Medicare Dentist in Newark, NJ