RANDOLPH ORAL PATHOLOGY ASSOCIATES, LLC (NPI# 1053745117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053745117 |
Entity Type | Organization |
Organization Name | RANDOLPH ORAL PATHOLOGY ASSOCIATES, LLC |
Practice Address |
447 Route 10 Suite 5 Randolph NJ 07869-2132 |
Practice Telephone | 9733280464 |
Mailing Telephone | 9733280464 |
Enumeration Date | 2013-08-26 |
Last Update Date | 2014-01-07 |
Authorized Official Name | DR. JESSICA L WOLLENBERG (SOLE MBR) |
Authorized Official Telephone | 9739459309 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
22DI02546000 | NJ | Dental Providers |
Street Address |
447 ROUTE 10 SUITE 5 |
City | RANDOLPH |
State | NJ |
Zip Code | 07869-2132 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538243944 | Jonathan Mark Friedman | Dentist | 447 Route 10, Suite 5, Randolph, NJ 07869-2132 | 2006-10-24 |
1790226140 | Hearing Health Pa LLC | Audiologist-Hearing Aid Fitter | 447 Route 10, Suite 1, Randolph, NJ 07869-2132 | 2017-03-18 |
1902118276 | Gautam Desai Md Pa | Internal Medicine | 447 Route 10, Suite2, Randolph, NJ 07869-2132 | 2010-07-02 |
1770801888 | Jessica Lillian Wollenberg | Dentist | 447 Route 10, Suite 5, Randolph, NJ 07869-2132 | 2010-05-13 |
1568653376 | Brian Jeffrey Klein | Dentist | 447 Route 10, Suite 5, Randolph, NJ 07869-2132 | 2007-08-06 |
1285836650 | Bernard Ivan Barrish | Dentist | 447 Route 10, Suite 9, Randolph, NJ 07869 | 2007-06-05 |
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 | 1223P0106X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Pathology |
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770801888 | Jessica Lillian Wollenberg | Dentist | 447 Route 10, Suite 5, Randolph, NJ 07869-2132 | 2010-05-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154734325 | Heller Oral Sugery LLC | Dentist | 639 Mount Prospect Ave Fl 2, Newark, NJ 07104-3109 | 2014-06-05 |
1578587408 | David A Lederman | Dentist | 32 Cobblestone Way, Freehold, NJ 07728-7755 | 2006-07-26 |
1407876212 | Krystin Ann Bandola | Dentist | 202 Towne Centre Dr, Hillsborough, NJ 08844-4693 | 2006-07-21 |
1568483311 | Cathy Yuan Hung-orlando | Dentist | 312 Applegarth Rd Suite 202, Monroe Twp, NJ 08831 | 2006-07-21 |
1740206598 | Stuart H Meyer | Dentist | 1315 Allaire Ave, Ocean, NJ 07712-3549 | 2006-07-14 |
1124076500 | Carl Angelo Bifano | Dentist | 2 Plaza Dr Ste 202, Sewell, NJ 08080 | 2006-05-05 |
1689643447 | Steven Cipris | Dentist | 1250 E Ridgewood Ave, Ridgewood, NJ 07450-3956 | 2006-03-15 |
1497731129 | Louis Allora | Dentist | 120 S 6th St, Vineland, NJ 08360-4605 | 2005-12-15 |
1649261033 | Matthew Eichen Dmd, Pa | Dentist | 17 W Ormond Ave, Cherry Hill, NJ 08002-3041 | 2005-11-03 |
1821086901 | John N Kallis | Dentist | 617 E Palisade Ave, Englewood Cliffs, NJ 07632-1831 | 2005-10-12 |
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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.