DR. MARIANELLA NATERA-FERNANDEZ (NPI# 1073061297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073061297 |
| Entity Type | Individual |
| Full Name | DR. MARIANELLA NATERA-FERNANDEZ |
| Credential | DMD |
| Practice Address |
110 Bergen St D883 Newark NJ 07103-2495 |
| Mailing Address |
18 Ocean St 2nd Floor Millburn NJ 07041-1147 |
| Practice Telephone | 9739721374 |
| Mailing Telephone | 3527924611 |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
DE60295958 | WA | Dental Providers |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
DN22262 | FL | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
22DI02653700 | NJ | Dental Providers |
| Street Address |
110 BERGEN ST D883 |
| 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 | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184099251 | Child Smiles Spec LLC | Dentist | 67-73 Fillmore Street, Newark, NJ 07105 | 2015-12-01 |
| 1235395971 | Dara Siegel | Dentist | 110 Bergen St Ste 883a, Newark, NJ 07103 | 2008-08-01 |
| 1245303387 | Omega Endodontics, LLC | Dentist | 31 Omega Dr, Suite J-31, Newark, DE 19713-2058 | 2006-11-16 |
| 1003425562 | A&c Dental Concepts LLC | Dentist | 233 Lafayette St, Newark, NJ 07105-1813 | 2020-07-29 |
| 1306479902 | Childsmiles PC Holdings Nj Pa | Dentist | 45 Bleeker St, Newark, NJ 07102-1913 | 2020-02-21 |
| 1275054066 | Sara E Soumeeh | Dentist | 66 Somme St, Newark, NJ 07105-3612 | 2017-06-30 |
| 1013468040 | Infinite Endodontics 2 | Dentist | 66 Somme St, Newark, NJ 07105-3612 | 2016-10-14 |
| 1144612250 | Carla Yvonne Falcon | Dentist | 110 Bergen St, Newark, NJ 07103-2495 | 2015-02-26 |
| 1750794996 | Samin F Nawaz | Dentist | 110 Bergen St, Room C-790, Newark, NJ 07103-2495 | 2014-06-05 |
| 1528392982 | Meghan E Hatfield | Dentist | 110 Bergen Street, Room C790, Newark, NJ 07101 | 2009-10-01 |
| 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.