EDWARD DOMINGUEZ (NPI# 1134579162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134579162 |
| Entity Type | Individual |
| Full Name | EDWARD DOMINGUEZ |
| Credential | D.M.D |
| Practice Address |
201 Route 17 12th Floor Rutherford NJ 07070-2574 |
| Practice Telephone | 2015498827 |
| Mailing Telephone | 2015498827 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 22DI02642300 | NJ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467400697 | Edward Paul Dominguez | Surgery | 3545 Olentangy River Rd, Suite 525, Columbus, OH 43214-3907 | 2006-05-04 |
| 1598765828 | Edward A Dominguez | Internal Medicine | 1411 N Beckley Ave, Pav IIi Ste#268, Dallas, TX 75203-1259 | 2005-07-28 |
| Street Address |
201 ROUTE 17 12TH FLOOR |
| City | RUTHERFORD |
| State | NJ |
| Zip Code | 07070-2574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790855815 | Renata V Weber | Plastic Surgery | 201 Route 17, 11th Floor, Room 11056, Rutherford, NJ 07070-2574 | 2006-11-08 |
| 1871003194 | Priya Tonseker | Dentist | 201 Route 17, Rutherford, NJ 07070-2574 | 2017-10-02 |
| 1265967863 | Mobile Medical Services of New Jersey, PC | Anesthesiology | 201 Route 17, 12th Floor, Rutherford, NJ 07070-2574 | 2017-04-21 |
| 1861924532 | Malo Clinical Center for Ambulatory Surgery, LLC | Clinic/Center | 201 Route 17, 12th Floor, Rutherford, NJ 07070-2574 | 2017-03-31 |
| 1669927240 | Dhara Shah | Dentist | 201 Route 17, 12th Floor, Rutherford, NJ 07070-2574 | 2016-08-24 |
| 1508283862 | Ajit M. Shah, Md PC | Internal Medicine | 201 Route 17, Rutherford, NJ 07070-2574 | 2014-03-25 |
| 1033556626 | Complete Foot and Ankle - Malo | Podiatrist | 201 Route 17, 11th Floor, Rutherford, NJ 07070-2574 | 2013-05-23 |
| 1699118869 | Milad Alam | Orthopaedic Surgery | 201 Route 17, Rutherford, NJ 07070-2574 | 2013-04-08 |
| 1215274410 | Malo Consulting Nj LLC | Clinic/Center | 201 Route 17, Rutherford, NJ 07070-2574 | 2013-01-08 |
| 1114208857 | Institute for Nerve, Hand and Reconstructive Surgery LLC | Plastic Surgery | 201 Route 17, 11th Floor, Room 11056, Rutherford, NJ 07070-2574 | 2011-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528601796 | Casey Cresbaugh | Orthopaedic Surgery | 201 Nj-rt 17, Suite 1202, Rutherford, NJ 07070 | 2019-10-21 |
| 1407317019 | Riverside Surgical Center of Meadowlands, LLC | Clinic/Center | 201 Nj-17, 12th Floor, Rutherford, NJ 07070 | 2019-03-27 |
| 1124437975 | Valerie Pagan | Orthotic Fitter | 154 Union Ave Apt 23, Rutherford, NJ 07070 | 2014-08-06 |
| 1437592946 | Brett Bielory | Ophthalmology | 201 17 North, Suite 1202, Rutherford, NJ 07070 | 2013-04-15 |
| 1427317437 | Jose Manuel Rodriguez | Counselor | 89 Ridge Rd. Suite 4, North Arlington, NJ 07070 | 2012-05-10 |
| 1649565987 | Rahul Gurbux Matnani | Pathology | 201 Route 17 Fl 2, Rutherford, NJ 07070 | 2011-06-15 |
| 1750523379 | Preethi Venugopal Ramaswamy | Dermatology | 201 New Jersey 17, 11th Floor, Rutherford, NJ 07070 | 2009-03-27 |
| 1457545675 | Rutherford Allied Medical Group | Chiropractor | 323 Union Avenue, Rutherford, NJ 07070 | 2007-08-30 |
| 1861612012 | Meadowlands Dental Association | Dentist | 17 Sylvan Street, Suite 205, Rutherford, NJ 07070 | 2007-04-30 |
| 1477672327 | Robert S Freda | Chiropractor | 287 Park Avenue, Rutherford, NJ 07070 | 2007-03-29 |
| Find all providers in zip 07070 | ||||
| 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 |
|---|---|---|---|---|
| 1336798909 | Prohealth Riverside Dental, LLC | Dentist | 201 Route 17 Fl 12, Rutherford, NJ 07070-2557 | 2019-09-06 |
| 1841681624 | Family Dentistry By Dr. Maria M Rincon-lorenzo Dds LLC | Dentist | 15 Ames Ave, Rutherford, NJ 07070-1701 | 2015-02-14 |
| 1376727222 | Donald Anthony Fanelli | Dentist | 19 Franklin Place, Rutherford, NJ 07070-1707 | 2007-12-27 |
| 1306058870 | Robert Ceris Graber | Dentist | 135 Union Ave, Rutherford, NJ 07070-1564 | 2007-05-04 |
| 1861612012 | Meadowlands Dental Association | Dentist | 17 Sylvan Street, Suite 205, Rutherford, NJ 07070 | 2007-04-30 |
| 1245381755 | Steven M Orciuolo | Dentist | 15 Franklin Pl, Rutherford, NJ 07070-1707 | 2007-01-13 |
| 1740379270 | Maria Magdalena Rincon-lorenzo | Dentist | 30 Ames Ave, Rutherford, NJ 07070-1763 | 2006-10-12 |
| 1427048156 | Amy Theriac Duncan | Dentist | 608 S Trenton St, Rutherford, TN 38369-9715 | 2005-10-25 |
| 1427456979 | Michael Stephen Dugan | Dentist | 17 Sylvan St, Rutherford, NJ 07070-2037 | 2014-12-16 |
| 1235561788 | Amin Ayoub | Dentist | 338 Union Ave, Rutherford, NJ 07070-1563 | 2013-08-07 |
| Find all providers in RUTHERFORD | ||||
| City | RUTHERFORD |
| Zip Code | 07070 |
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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.