BERTRAM STRACHAN JR. (NPI# 1093169799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093169799 |
| Entity Type | Individual |
| Full Name | BERTRAM STRACHAN JR. |
| Practice Address |
148 Strawberry Hill Ave Woodbridge NJ 07095-2632 |
| Practice Telephone | 6467033824 |
| Mailing Telephone | 6467033824 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2019-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
059969 | NY | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
148 STRAWBERRY HILL AVE |
| City | WOODBRIDGE |
| State | NJ |
| Zip Code | 07095-2632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659770 | Anjali Gandhi | Physical Therapist | 767 St. Georges Avenue, Woodbridge, NJ 07095 | 2020-11-03 |
| 1083155808 | Kenneth Madueke | Nurse Practitioner | 404 Kings Ct, Woodbridge, NJ 07095 | 2017-03-13 |
| 1720536139 | Orthosupply, LLC | Durable Medical Equipment & Medical Supplies | 10 Main Street Unit 177, Woodbridge, NJ 07095 | 2016-09-14 |
| 1841642048 | Rachel Marks | Optometrist | 161a Woodbridge Center Drive, Woodbridge, NJ 07095 | 2016-07-12 |
| 1003271214 | Parth Patel | Specialist | 581 Main Street, Woodbridge, NJ 07095 | 2015-12-15 |
| 1639541105 | Lisa Rasmussen | Speech-Language Pathologist | 1 St. Joseph Terrace, Woodbridge, NJ 07095 | 2015-10-23 |
| 1437584109 | Amanda Lynn Rotondo | Physical Therapist | 10 Woodbridge Center Dr., Suite 102, Woodbridge, NJ 07095 | 2013-09-12 |
| 1225460165 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 441 Woodbridge Center Drive, Woodbridge, NJ 07095 | 2013-08-02 |
| 1124368477 | Vista Rehab Services | Early Intervention Provider Agency | 185 Green Street, Woodbridge, NJ 07095 | 2013-02-25 |
| 1568748358 | Hasumati Patel | Pharmacist | 17 Green Street, Woodbridge, NJ 07095 | 2011-10-25 |
| Find all providers in zip 07095 | ||||
| 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 |
|---|---|---|---|---|
| 1801029590 | Britestars Pediatric Dentistry | Dentist | 12602 Lake Ridge Dr, Woodbridge, VA 22192-2335 | 2009-08-27 |
| 1043731086 | Kian Zabi Momeni | Dentist | 12602 Lake Ridge Dr, Woodbridge, VA 22192-2335 | 2017-06-29 |
| 1245531805 | Dr. Mala Britto's Children's Dentistry | Dentist | 12581 Milstead Way, Suite 305, Woodbridge, VA 22192-5445 | 2010-11-12 |
| 1992935449 | April Joy Johnson Toyer | Dentist | 14573 Potomac Mills Rd, Woodbridge, VA 22192-6808 | 2009-07-18 |
| 1487839288 | Joseph Silverman Dmd LLC | Dentist | 655 Amboy Ave, Suite 301, Woodbridge, NJ 07095-3159 | 2007-12-31 |
| 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 | ||||
| City | WOODBRIDGE |
| Zip Code | 07095 |
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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.