WORTZEL INTEGRATIVE DENTAL CARE, LLC (NPI# 1144625856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144625856 |
| Entity Type | Organization |
| Organization Name | WORTZEL INTEGRATIVE DENTAL CARE, LLC |
| Practice Address |
1122 Route 22 Mountainside NJ 07092-2812 |
| Practice Telephone | 9086545151 |
| Practice Fax Number | 9086547791 |
| Mailing Telephone | 9086545151 |
| Mailing Fax Number | 9086547791 |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |
| Authorized Official Name | DR. ROBERT A WORTZEL (DENTIST) |
| Authorized Official Telephone | 9086545151 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 22D102559900 | NJ | Dental Providers |
| N | 122300000X | Dentist | 22D102558000 | NJ | Dental Providers |
| Y | 122300000X | Dentist | 22D101187000 | NJ | Dental Providers |
| Street Address |
1122 ROUTE 22 |
| City | MOUNTAINSIDE |
| State | NJ |
| Zip Code | 07092-2812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487834420 | Jadar Associates LLC | Home Health | 1122 Route 22, Ste 206, Mountainside, NJ 07092-2812 | 2007-11-07 |
| 1851702427 | Sunrise House Foundation, Inc. | Clinic/Center | 1122 Route 22, Suite 204, Mountainside, NJ 07092 | 2014-05-16 |
| 1366881682 | Lisa Abigail Wortzel | Student in an Organized Health Care Education/Training Program | 1122 Route 22, Mountainside, NJ 07092-2812 | 2013-06-19 |
| 1770732901 | Robert Allen Wortzel | Dentist | 1122 Route 22, Mountainside, NJ 07092-2812 | 2008-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750866869 | Anjuli Bodapati | Clinical Neuropsychologist | 608 Sherwood Pkwy Ste 2d, Mountainside, NJ 07092 | 2018-09-25 |
| 1497177273 | Mumta Hathiramani | Dentist | 1122 Route 22 Ste 104, Mountainside, NJ 07092 | 2014-01-13 |
| 1376817742 | Yekaterina Spivak | Physician Assistant | 444 New Providence Rd, Mountainside, NJ 07092 | 2012-03-02 |
| 1578837225 | Barbara I Reuven | Physical Therapist | 1111 Us Highway 22 East, Mountainside, NJ 07092 | 2012-02-28 |
| 1629350434 | Cooperative Counseling Services, LLC | Clinic/Center | 1139 Spruce Drive, Suite 2, Mountainside, NJ 07092 | 2011-09-16 |
| 1912207325 | Leslie Ann Eckenthal | Speech-Language Pathologist | 1607 Rising Way, Westfield, NJ 07092 | 2010-11-01 |
| 1598080806 | Darshana Patel | Pharmacist | 200 Sheffield, 103, Mountainside, NJ 07092 | 2010-03-30 |
| 1770807497 | Goda Devi Chari | Pharmacist | 200 Sheffield St., Ste.103, Mountainside, NJ 07092 | 2010-03-24 |
| 1982830485 | Arthur J. Matthews | Otolaryngology | 1060 Saddlebrook Rd., Mountainside, NJ 07092 | 2009-06-10 |
| 1285889105 | Charles Edward Dooley Jr | Internal Medicine | 560 Springfield Avenue, Westfield, NJ 07092 | 2008-11-19 |
| Find all providers in zip 07092 | ||||
| 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 |
|---|---|---|---|---|
| 1497177273 | Mumta Hathiramani | Dentist | 1122 Route 22 Ste 104, Mountainside, NJ 07092 | 2014-01-13 |
| 1790091395 | Dana Kupfer | Dentist | 1162 Springield Ave, Mountainside, NJ 07092-2906 | 2010-08-20 |
| 1538215645 | Robert J. Kudla | Dentist | 1132 Springfield Ave, Mountainside, NJ 07092-2906 | 2007-01-25 |
| 1205943024 | Michael Ellis Gallet | Dentist | 1020 Springfield Ave, Suite 105, Mountainside, NJ 07092-2988 | 2006-08-25 |
| 1164039400 | Robert J Kudla II | Dentist | 1132 Springfield Ave, Mountainside, NJ 07092-2906 | 2020-09-30 |
| 1770732901 | Robert Allen Wortzel | Dentist | 1122 Route 22, Mountainside, NJ 07092-2812 | 2008-09-11 |
| 1043402027 | Isai Fishkin D.d.s.,pa | Dentist | 213 Summit Rd, Mountainside, NJ 07092-2316 | 2007-08-14 |
| 1043238793 | Isai I Fishkin | Dentist | 213 Summit Rd, Mountainside, NJ 07092-2316 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588066 | Makram Ksouma | Dentist | 1626 Rte 130, North Brunswick, NJ 08902-3000 | 2020-11-03 |
| 1841890092 | Refka A Salib | Dentist | 730 Newark Ave Apt 11i, Jersey City, NJ 07306-2816 | 2020-10-27 |
| 1336747385 | Dennis Chung | Dentist | 464 Hillside Ave Apt B, Palisades Park, NJ 07650-1345 | 2020-10-13 |
| 1609483775 | Christopher Sonn Dds PC | Dentist | 466 Old Hook Rd Ste 24b, Emerson, NJ 07630-1368 | 2020-09-23 |
| 1316552409 | Zubia Iftikhar | Dentist | 25 Short Hills Cir # 1a, Millburn, NJ 07041-1224 | 2020-09-15 |
| 1487269916 | Syren Gonzalez Perez | Dentist | 408 Vine St Apt 1b, Elizabeth, NJ 07202-2350 | 2020-09-11 |
| 1174137715 | Bradley Curtis Entrup | Dentist | 176 Kinderkamack Rd, Park Ridge, NJ 07656-1384 | 2020-09-01 |
| 1528672375 | John Anthony Vitello | Dentist | 513 Berlin Cross Keys Rd, Sicklerville, NJ 08081-4368 | 2020-08-31 |
| 1699388611 | Janisley Garcia Martinez | Dentist | 6400 Jefferson St Apt 302, West New York, NJ 07093-5353 | 2020-08-28 |
| 1124631478 | Ismile Dental Care of Bloomfield | Dentist | 1455 Broad St Ste 105, Bloomfield, NJ 07003-3039 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAINSIDE |
| Zip Code | 07092 |
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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.