DR. ANDREA LEE MANN (NPI# 1003954736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003954736 |
| Entity Type | Individual |
| Full Name | DR. ANDREA LEE MANN |
| Credential | D.M.D. |
| Practice Address |
390 State Route 10 Randolph NJ 07869-2141 |
| Mailing Address |
26 Locust Dr Apartment #43 Summit NJ 07901-4420 |
| Practice Telephone | 9739897970 |
| Mailing Telephone | 2019833874 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2009-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
22DI02314500 | NJ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013182385 | Andrea Lorene Mann | Speech-Language Pathologist | 27 Pine Needle Rd, Boulder, CO 80304-0436 | 2008-04-28 |
| 1093286783 | Andrea Mann | Counselor | 1777 Tamiami Trl Ste 201, Port Charlotte, FL 33948-1064 | 2018-12-06 |
| 1518279256 | Andrea Parisa Mann | Psychiatry & Neurology | 30 N Michigan Ave Ste 901, Chicago, IL 60602-3767 | 2010-07-10 |
| 1487751046 | Andrea Pax Mann | Internal Medicine | 2054 South Green Road, South Euclid, OH 44121 | 2006-09-17 |
| Street Address |
390 STATE ROUTE 10 |
| City | RANDOLPH |
| State | NJ |
| Zip Code | 07869-2141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942394812 | Aaron Michael Mannella | Dentist | 390 State Route 10, Randolph, NJ 07869-2141 | 2006-10-03 |
| 1245457001 | Victor H. Train | Dentist | 390 State Route 10, Suite 102, Randolph, NJ 07869-2141 | 2007-04-20 |
| 1598859563 | Susan Arnold | Dentist | 390 State Route 10, Randolph, NJ 07869-2141 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699398149 | Jaclyn Philbin | Dietitian, Registered | 11 Middlebury Boulevard, Suite 9/10, Randolph, NJ 07869 | 2020-05-19 |
| 1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
| 1518516061 | New Jersey Center for Cognitive and Dialectical Behavior Therapy | Clinic/Center | 1250 Sussex Tpke Ste N, Randolph, NJ 07869 | 2019-09-07 |
| 1396306031 | Marilyn (lynn) G Teale | Specialist/Technologist | 1248 Sussex Tpk, Unit B11, Randolph, NJ 07869 | 2019-06-24 |
| 1497218580 | Christopher Lamorte | Dentist | 390 Nj-10 West, Randolph, NJ 07869 | 2019-04-07 |
| 1982101309 | Essex County Weightloss, LLC | Family Medicine | 81 State Road 10 East, Randolph, NJ 07869 | 2018-04-11 |
| 1699285569 | Raechel Jean Lofaro | Nurse Practitioner | 8 Chestnut Hil Road, Randolph, NJ 07869 | 2017-10-05 |
| 1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
| 1144739244 | Dickerson Dental Group, LLC | Dentist | 714 Route 10, Randolph, NJ 07869 | 2017-09-21 |
| 1053831479 | Melissa Morgan | Pediatrics | College Plaza Pediatrics, 765 Route 10 East, Ste 203, Randolph, NJ 07869 | 2017-06-27 |
| Find all providers in zip 07869 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942394812 | Aaron Michael Mannella | Dentist | 390 State Route 10, Randolph, NJ 07869-2141 | 2006-10-03 |
| 1952945685 | Simply Orthodontics & Pediatrics of Randolph Pllc | Dentist | 15 Warren St, Randolph, MA 02368-4015 | 2019-11-06 |
| 1164700449 | Helen H Park | Dentist | 390 Route 10, Randolph, NJ 07869-2141 | 2011-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508481565 | Kids First Pediatric Dentistry LLC | Dentist | 740 Marne Hwy Ste 103, Moorestown, NJ 08057-3126 | 2020-06-15 |
| 1568008340 | Twinkle Little Star Pediatric Dentistry, LLC | Dentist | 259 Kinderkamack Road, Westwood, NJ 07675 | 2019-11-27 |
| 1558831370 | Amazing Smiles Dentistry for Children, Pa | Dentist | 160 Mountain Ave Ste 101, Hackettstown, NJ 07840-2324 | 2018-12-05 |
| 1063915403 | Singh and Smile Pediatric Dentistry | Dentist | 180 South St Ste 104, New Providence, NJ 07974-1991 | 2018-03-12 |
| 1790285450 | Bright Smiles of Burlington County | Dentist | 693 Main Street, Building B Suite 1, Lumberton, NJ 08048 | 2018-02-19 |
| 1972026144 | Otto M Choi Dds, PC | Dentist | 345 Old Hook Rd, Westwood, NJ 07675-3201 | 2017-07-19 |
| 1386175149 | William Christian Bertram Desonne | Dentist | 1692 Clements Bridge Rd, Deptford, NJ 08096-3028 | 2017-03-23 |
| 1295275758 | Anjali Soni | Dentist | 1910 East Route 70, Ste 9, Cherry Hill, NJ 08003 | 2017-03-03 |
| 1821542176 | Amy R Patel | Dentist | 191 Rte 206 Ste 11, Flanders, NJ 07836-9002 | 2016-08-03 |
| 1891248647 | Lyndhurst Pediatric Dentistry, LLC | Dentist | 710 Ridge Rd, Lyndhurst, NJ 07071-3224 | 2016-07-28 |
| Find all providers with the same taxonomy | ||||
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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.