DR. TALYA GLUCK (NPI# 1053544361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053544361 |
| Entity Type | Individual |
| Full Name | DR. TALYA GLUCK |
| Credential | DMD |
| Practice Address |
110 Bergen St Pediatric Dentistry Newark NJ 07103-2495 |
| Mailing Address |
110 Bergen St Newark NJ 07103-2495 |
| Practice Telephone | 5166551067 |
| Mailing Telephone | 5166551067 |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
22DI02410900 | NJ | Dental Providers |
| Street Address |
110 BERGEN ST PEDIATRIC DENTISTRY |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083607188 | Justin Howard Stone | Dentist | 110 Bergen St, Reception Area 8, Newark, NJ 07103-2495 | 2005-08-24 |
| 1376169987 | Christian Frank Carcione | Dentist | 110 Bergen St, Newark, NJ 07103-2495 | 2020-06-19 |
| 1760007835 | Tyler Branson Jacobs | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2020-06-14 |
| 1649895863 | Allison Derenzi | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2020-06-12 |
| 1912521865 | Justin Shane Dinowitz | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2020-06-05 |
| 1700400058 | Michael Thinh Tran | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2020-06-02 |
| 1154944783 | Viveka Patel | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2020-05-18 |
| 1346861630 | Joshua Paul Lilly | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Dept. of Oral and Maxillofacial Surgery, Newark, NJ 07103 | 2020-04-28 |
| 1043830409 | Suzana Mamo | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2020-04-25 |
| 1073133864 | Zehra Husain | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| 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 |
|---|---|---|---|---|
| 1053497818 | Lynn Marie Collins | Dentist | 38 Peoples Plz, Newark, DE 19702-4727 | 2006-10-27 |
| 1528409448 | Jae Marie Grymes | Dentist | 1290 Peoples Plz, Newark, DE 19702-5701 | 2013-07-08 |
| 1780976019 | Silly Smiles, LLC | Dentist | 200 Biddle Ave, Suite 201, Newark, DE 19702-3968 | 2011-05-04 |
| 1508178310 | Daniel Peikes | Dentist | 110 Bergen St, Newark, NJ 07103-2495 | 2010-07-08 |
| 1023268935 | Dental Kidz, Limited Liability Company | Dentist | 24 Commerce St, 11th Floor, Newark, NJ 07102-4060 | 2008-09-27 |
| 1285895789 | Otto Myungho Choi | Dentist | 66 Somme St, Newark, NJ 07105-3612 | 2008-06-18 |
| 1023150091 | Milton Houpt | Dentist | 110 Bergen St, New Jersey Dental School, Newark, NJ 07103 | 2007-02-13 |
| 1831261353 | Kesang Datta | Dentist | 9 25 Alling Street, Newark, NJ 07102 | 2006-11-14 |
| 1689751265 | Patricia Mary Smith | Dentist | 38 Peoples Plz, Newark, DE 19702-4727 | 2006-11-01 |
| 1083790844 | Ronald Edward Collins | Dentist | 38 Peoples Plz, Newark, DE 19702-4727 | 2006-10-27 |
| Find all providers in NEWARK | ||||
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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.