DR. BRYAN JEFFREY PENCZUK (NPI# 1043735764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043735764 |
| Entity Type | Individual |
| Full Name | DR. BRYAN JEFFREY PENCZUK |
| Credential | DMD |
| Practice Address |
3822 River Rd Ste 2 Point Pleasant Boro NJ 08742-2067 |
| Practice Telephone | 7322952876 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 22DI02683100 | NJ | Dental Providers |
| Street Address |
3822 RIVER RD STE 2 |
| City | POINT PLEASANT BORO |
| State | NJ |
| Zip Code | 08742-2067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350286 | Joyce Marie Desmond | Massage Therapist | 3003 B, Nj-88, Point Pleasant, NJ 08742 | 2020-09-09 |
| 1306328083 | Alyson L. Zilai, LLC | Clinic/Center | 302-304 Hawthorne Avenue, Suite 9, Point Pleasant Beach, NJ 08742 | 2018-08-30 |
| 1891274197 | Crest Pointe Operator LLC | Skilled Nursing Facility | 1515 Hulse Road, Point Pleasant, NJ 08742 | 2018-08-08 |
| 1740703446 | Caitlin Rorke | Speech-Language Pathologist | 309 Route 35 Apt 1e, Point Pleasant, NJ 08742 | 2017-07-25 |
| 1235553249 | Bridge Mental Health | Psychologist | 1617 Beaver Dam Road, Point Pleasant, NJ 08742 | 2014-02-11 |
| 1699058966 | Clifford Ian Vannest | Pharmacist | 3161 Lakewood Road, Point Pleasant, NJ 08742 | 2011-09-23 |
| 1104140292 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3161 Lakewood Rd, Point Pleasant Boro, NJ 08742 | 2010-03-18 |
| 1033343009 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 1513 Richmond Ave, Point Pleasant Boro, NJ 08742 | 2009-05-06 |
| 1326219924 | Svetlana Fomin | Specialist | 2200 River Rd. Ste A, Point Pleasant, NJ 08742 | 2008-03-21 |
| 1497935696 | Christina Louise Parrott | Hearing Instrument Specialist | 2614 Bridge Avenue, Pt. Pleasant, NJ 08742 | 2007-11-06 |
| Find all providers in zip 08742 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407986565 | Louis Mark Lambusta Jr. | Dentist | 2911 Route 88 Ste 2, Point Pleasant Boro, NJ 08742-2871 | 2007-03-07 |
| 1437269271 | Joseph Richard Zicchino | Dentist | 2407 Bridge Ave, Point Pleasant Boro, NJ 08742-4334 | 2006-08-30 |
| 1104322957 | Jobella Dental Associates, LLC | Dentist | 1115 Arnold Ave, Point Pleasant Boro, NJ 08742-2384 | 2018-04-02 |
| 1205202850 | Coastal Dental Group South LLC | Dentist | 2407 Bridge Ave, Point Pleasant Boro, NJ 08742-4334 | 2015-08-18 |
| 1346515384 | Keyport Dental Group | Dentist | 2407 Bridge Ave, Point Pleasant Boro, NJ 08742-4334 | 2012-03-08 |
| 1962623330 | Richard Thomas Mccluskey | Dentist | 2424 Bridge Ave, Point Pleasant Boro, NJ 08742-4335 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588066 | Makram Ksouma | Dentist | 1626 Rte 130, North Brunswick, NJ 08902-3000 | 2020-11-03 |
| 1841890092 | Refka A Salib | Dentist | 730 Newark Ave Apt 11i, Jersey City, NJ 07306-2816 | 2020-10-27 |
| 1336747385 | Dennis Chung | Dentist | 464 Hillside Ave Apt B, Palisades Park, NJ 07650-1345 | 2020-10-13 |
| 1609483775 | Christopher Sonn Dds PC | Dentist | 466 Old Hook Rd Ste 24b, Emerson, NJ 07630-1368 | 2020-09-23 |
| 1316552409 | Zubia Iftikhar | Dentist | 25 Short Hills Cir # 1a, Millburn, NJ 07041-1224 | 2020-09-15 |
| 1487269916 | Syren Gonzalez Perez | Dentist | 408 Vine St Apt 1b, Elizabeth, NJ 07202-2350 | 2020-09-11 |
| 1174137715 | Bradley Curtis Entrup | Dentist | 176 Kinderkamack Rd, Park Ridge, NJ 07656-1384 | 2020-09-01 |
| 1528672375 | John Anthony Vitello | Dentist | 513 Berlin Cross Keys Rd, Sicklerville, NJ 08081-4368 | 2020-08-31 |
| 1699388611 | Janisley Garcia Martinez | Dentist | 6400 Jefferson St Apt 302, West New York, NJ 07093-5353 | 2020-08-28 |
| 1124631478 | Ismile Dental Care of Bloomfield | Dentist | 1455 Broad St Ste 105, Bloomfield, NJ 07003-3039 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | POINT PLEASANT BORO |
| Zip Code | 08742 |
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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.