ADVANCED DENTAL OF JERSEY CITY LLC (NPI# 1003108051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003108051 |
| Entity Type | Organization |
| Organization Name | ADVANCED DENTAL OF JERSEY CITY LLC |
| Practice Address |
223 Mallory Ave Jersey City NJ 07304-1256 |
| Practice Telephone | 2012323358 |
| Mailing Telephone | 2012323358 |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2011-05-10 |
| Authorized Official Name | DR. PETER DEMETRIUS TSAMBAZIS (OWNER) |
| Authorized Official Telephone | 9735864444 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
18218 | NJ | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
18218 | NJ | Dental Providers |
| Street Address |
223 MALLORY AVE |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07304-1256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528125382 | Family Dental Clinic,inc. | Dentist | 223 Mallory Ave, Jersey City, NJ 07304-1256 | 2007-01-02 |
| 1275193039 | Gabriel Aleksandryants | Dentist | 223 Mallory Ave, Jersey City, NJ 07304-1256 | 2019-06-14 |
| 1366590051 | Peter Demetrius Tsambazis | Dentist | 223 Mallory Ave, Jersey City, NJ 07304-1256 | 2007-01-08 |
| 1639236490 | Musa P Macapodi | Dentist | 223 Mallory Ave, Jersey City, NJ 07304-1256 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790324085 | Marlon Q Lopez | Physical Therapist | 438 West Avenue, Virginia Cor Ege, Jersey, NJ 07304 | 2020-01-03 |
| 1033621842 | Dipty Mali | Physical Therapist | 520 Bergen Avenue, Jersey City, NJ 07304 | 2017-11-02 |
| 1861914434 | Eulalia Rivera | Licensed Practical Nurse | 140 Boyd Ave, Jersey City, NJ 07304 | 2017-07-14 |
| 1336509223 | Hyojin Park | Student in an Organized Health Care Education/Training Program | 935 Garfield Avenue, Metropolitan Family Health Network, Inc. - Jersey City, Jersey City, NJ 07304 | 2016-03-04 |
| 1962878413 | Hudson Milestones | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13-15 Miller Street, Jersey City, NJ 07304 | 2015-08-19 |
| 1336515881 | Hudson Milestones | Day Training, Developmentally Disabled Services | 355 Clendenny Avenue, Jersey City, NJ 07304 | 2015-08-19 |
| 1922482025 | Cosmo Pharmacy LLC | Pharmacy | 402 Pacific Avenue, Jersey City, NJ 07304 | 2015-07-17 |
| 1033513171 | Walgreens | Health Maintenance Organization | 2395 John Kennedy Blvd, Jersey City, NJ 07304 | 2014-10-17 |
| 1427460138 | Medical Claims Adjustment Pros | Spec/Tech, Health Info | 79 Jewett Avenue Ste 2, Jersey City, NJ 07304 | 2014-05-29 |
| 1801133103 | Hoboken Holistic Physical Therapy and Sports Medicine LLC | Acupuncturist | 701 State Route 440 Suite 21, Jersey City, NJ 07304 | 2013-01-08 |
| Find all providers in zip 07304 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457594350 | Freeman&freemanpc | Dentist | 2403 2405 Kennedy Blvd, Jersey City, NJ 07304 | 2009-04-08 |
| 1396852679 | Giorgio T Divincenzo | Dentist | 312 Academy Street, Jersey City, NJ 07306 | 2006-08-24 |
| 1598786410 | Sergei Glazebnik | Dentist | 142 Palisade Ave Ste 200, Jersey City, NJ 07306-1108 | 2006-07-23 |
| 1366590051 | Peter Demetrius Tsambazis | Dentist | 223 Mallory Ave, Jersey City, NJ 07304-1256 | 2007-01-08 |
| 1801854153 | Kuang Min Chang | Dentist | 846 Bergen Ave, Jersey City, NJ 07306-4404 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114559994 | Daniela Gurpegui Abud | Dentist | 100 Park Ave Apt Ph4j, Fort Lee, NJ 07024-3806 | 2020-02-10 |
| 1417502378 | Periodontal Consultants, Pa | Dentist | 1910 East Marlton Pike, The Atrium Suite #2, Cherry Hill, NJ 08003 | 2019-08-07 |
| 1104478189 | Meera Sahni | Dentist | 3069 English Creek Ave Ste 101, Egg Harbor Township, NJ 08234-9708 | 2019-07-10 |
| 1245896364 | Edward Feins Dmd, Pa | Dentist | 241 Rivervale Road, River Vale, NJ 07675 | 2019-05-14 |
| 1437636917 | Noam L Saltzburg | Dentist | 738 Park Ave, Elizabeth, NJ 07208-1349 | 2018-07-26 |
| 1912406745 | Terri Anne Binder | Dentist | Eisai Inc, 155 Tice Blvd, Woodcliff Lake, NJ 07677-8406 | 2018-02-07 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1801326111 | Mina Ebrahimi Daryani | Dentist | 1307 White Horse Rd Ste B100, Voorhees, NJ 08043-2156 | 2017-06-19 |
| 1689129942 | Alejandro Castano | Dentist | 16 Pocono Rd Ste 213, Denville, NJ 07834 | 2016-08-16 |
| 1275932006 | Javier Sanz Moliner | Dentist | 103 Mansfield Rd E, Columbus, NJ 08022-2108 | 2014-08-18 |
| Find all providers with the same taxonomy | ||||
| City | JERSEY CITY |
| Zip Code | 07304 |
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| 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.