DR. JOHNATHAN PETER VELARDI (NPI# 1104192863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104192863 |
| Entity Type | Individual |
| Full Name | DR. JOHNATHAN PETER VELARDI |
| Practice Address |
1 Bay Ave Montclair NJ 07042-4837 |
| Mailing Address |
175 Biltmore St North Arlington NJ 07031-5609 |
| Practice Telephone | 9734296037 |
| Practice Fax Number | 9736807809 |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2016-06-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 22DI02518201 | NJ | Dental Providers |
| N | 282N00000X | General Acute Care Hospital | Hospitals |
| Street Address |
1 BAY AVE |
| City | MONTCLAIR |
| State | NJ |
| Zip Code | 07042-4837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275539645 | Philip Lutz | Anesthesiology | 1 Bay Ave, Montclair, NJ 07042-4837 | 2005-06-22 |
| 1063039782 | Heary Neurosurgical Institute PC | Neurological Surgery | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-06-29 |
| 1912527094 | Fahmena Islam | Registered Nurse | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-20 |
| 1770103004 | Dhara Patel | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-16 |
| 1639798028 | Meng-shan Lin | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-15 |
| 1487273660 | Carlos Enrique Huauya Leuyacc | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-08 |
| 1275162620 | Arham Syed Hazari | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-07 |
| 1841829389 | Sydnee Siewshyuan Lim | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-06 |
| 1144859620 | Tochukwu Mbolu | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-06 |
| 1932737079 | Keerthana Kuppamma Kumar | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451261 | Montclair Art Museum | Voluntary or Charitable | 3 South Mountain Avenue, Montclair, NJ 07042 | 2019-11-12 |
| 1740847797 | Magnify In-home Eyecare | Optometrist | Little Nursing Home, 71 Christopher Street, Montclair, NJ 07042 | 2019-05-24 |
| 1326539073 | Wendy C Kaplan | Social Worker | 460 Bloomfield Ave Suite 209, Montclair, NJ 07042 | 2018-05-29 |
| 1538666342 | Mary Elizabeth Mcgaughan | Psychologist | 239 Grove Street, Montclair, NJ 07042 | 2018-04-09 |
| 1023546777 | Alexander Scott Fisher | Dentist | 39 S Fullerton Ave Fl 2, Montclair, NJ 07042 | 2017-05-25 |
| 1942754825 | Kaity Rodriguez | Social Worker | 105 Grove St., Montclair, NJ 07042 | 2016-08-09 |
| 1144678889 | Melissa Cardinal | Nurse Practitioner | 36 Valley Road, 529, Montclair, NJ 07042 | 2016-06-02 |
| 1528413655 | Bellapianta Orthopaedics and Sports Medicine LLC | Orthopaedic Surgery | 1 Bay Avenue, Harries Pavilion, Suite 1, Montclair, NJ 07042 | 2016-04-26 |
| 1740647643 | Wendalyn Leona Browne | Massage Therapist | 37 Watchung Plaza, 2l, Montclair, NJ 07042 | 2016-01-22 |
| 1891168670 | Patience Moore | Social Worker | 460 Bloomfield Ave Ste 306, Montclair, NJ 07042 | 2015-11-03 |
| Find all providers in zip 07042 | ||||
| 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 |
|---|---|---|---|---|
| 1598282428 | Yung Chun Chen | Dentist | 12453 Royal Oaks Dr., Montclair, CA 91739 | 2017-08-22 |
| 1992127997 | Rita Deragobian Dds Inc | Dentist | 9509 Central Ave Ste D, Montclair, CA 91763-2400 | 2014-01-09 |
| 1174956528 | Dai Bui Family Dentistry | Dentist | 8851 Central Ave Ste D, Montclair, CA 91763-1658 | 2013-08-20 |
| 1548512205 | John Nguyen | Dentist | 10075 Pradera Ave, Montclair, CA 91763-3033 | 2012-10-04 |
| 1578742953 | Rita T Deragobian | Dentist | 9509 Central Ave. Suite # D, Montclair, CA 91763 | 2007-11-01 |
| 1679775282 | Anca Irina Bejan | Dentist | 403 Bloomfield Ave, Montclair, NJ 07042-3505 | 2007-06-05 |
| 1356554083 | Jody Lee Ross | Dentist | 22 The Crescent, Montclair, NJ 07042 | 2007-05-08 |
| 1326183096 | Charlene Gambino | Dentist | 39 The Cres, Montclair, NJ 07042-2641 | 2007-02-21 |
| 1144360249 | Sumana Anun | Dentist | 5467 Moreno St, Suite A, Montclair, CA 91763-1682 | 2007-02-07 |
| 1528106143 | Jihua Cao | Dentist | 5461 East Holt Blvd., Suite I, Montclair, CA 91763-4500 | 2007-02-03 |
| Find all providers in MONTCLAIR | ||||
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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.