HELLER ORAL SUGERY LLC (NPI# 1154734325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154734325 |
Entity Type | Organization |
Organization Name | HELLER ORAL SUGERY LLC |
Practice Address |
639 Mount Prospect Ave Fl 2 Newark NJ 07104-3109 |
Practice Telephone | 9734813078 |
Practice Fax Number | 9734812999 |
Mailing Telephone | 9734813078 |
Mailing Fax Number | 9734812999 |
Enumeration Date | 2014-06-05 |
Last Update Date | 2014-06-05 |
Authorized Official Name | DR. FARIBA SHARIFAN (PRESIDENT) |
Authorized Official Telephone | 9734813078 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
24058 | NJ | Dental Providers |
Street Address |
639 MOUNT PROSPECT AVE FL 2 |
City | NEWARK |
State | NJ |
Zip Code | 07104-3109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538790563 | North Ward Medical Arts LLC | Internal Medicine | 485-491 Mt Prospect Ave, Newark, NJ 07104 | 2020-01-29 |
1386149011 | Community Options Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mount Prospect Ave, Newark, NJ 07104 | 2018-03-26 |
1710406293 | Bmrr Corporation | Durable Medical Equipment & Medical Supplies | 664 Mt Prospect Ave, Newark, NJ 07104 | 2017-09-15 |
1508390287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 387 Ridge Street, Newark, NJ 07104 | 2017-04-19 |
1104280890 | North Essex Pediatrics Inc | Clinic/Center | 644 Mt Prospect Ave, Suite1, Newak, NJ 07104 | 2016-04-08 |
1306257076 | Sonia Martinez | Technician/Technologist | 677 Mount Prospect Avenue, Newark, NJ 07104 | 2014-05-15 |
1891022612 | Sofia Berkovich | Internal Medicine | 717-727 Broadway, Newark, NJ 07104 | 2009-11-16 |
1538302138 | Bellazmin Natalie Taylor | Physician Assistant | 354 Doremus Avenue, Newark, NJ 07104 | 2009-04-13 |
1740483502 | Clear Vision Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 677 Mt Prospect Avenue, Newark, NJ 07104 | 2007-06-08 |
1083815146 | Rafael A Hernandez | Pharmacist | 794 Mt. Prospect Ave., Newark, NJ 07104 | 2007-05-29 |
Find all providers in zip 07104 |
Taxonomy Code | 1223P0106X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Pathology |
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649220526 | Raymond Wayne Petrunich | Dentist | 2444 Pulaski Hwy, #100, Newark, DE 19702-3906 | 2006-05-11 |
1982944724 | Harmony Wellnes Center | Dentist | 4133 Ogletown Stanton Rd, Newark, DE 19713-4168 | 2013-02-14 |
1053347096 | Steven Mark Baum | Dentist | 110 Bergen St, Umdnj Ds C-768, Newark, NJ 07103-2495 | 2006-06-23 |
1881653129 | Deborah Bruce Cleveland | Dentist | 110 Bergen Street, Njds, D860, Newark, NJ 07101-1709 | 2006-03-23 |
1144289547 | Lawrence Charles Schneider | Dentist | 110 Bergen St, Njds D860, Newark, NJ 07103-2495 | 2006-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578587408 | David A Lederman | Dentist | 32 Cobblestone Way, Freehold, NJ 07728-7755 | 2006-07-26 |
1407876212 | Krystin Ann Bandola | Dentist | 202 Towne Centre Dr, Hillsborough, NJ 08844-4693 | 2006-07-21 |
1568483311 | Cathy Yuan Hung-orlando | Dentist | 312 Applegarth Rd Suite 202, Monroe Twp, NJ 08831 | 2006-07-21 |
1740206598 | Stuart H Meyer | Dentist | 1315 Allaire Ave, Ocean, NJ 07712-3549 | 2006-07-14 |
1124076500 | Carl Angelo Bifano | Dentist | 2 Plaza Dr Ste 202, Sewell, NJ 08080 | 2006-05-05 |
1689643447 | Steven Cipris | Dentist | 1250 E Ridgewood Ave, Ridgewood, NJ 07450-3956 | 2006-03-15 |
1497731129 | Louis Allora | Dentist | 120 S 6th St, Vineland, NJ 08360-4605 | 2005-12-15 |
1649261033 | Matthew Eichen Dmd, Pa | Dentist | 17 W Ormond Ave, Cherry Hill, NJ 08002-3041 | 2005-11-03 |
1821086901 | John N Kallis | Dentist | 617 E Palisade Ave, Englewood Cliffs, NJ 07632-1831 | 2005-10-12 |
1417945767 | Vincent Carrao | Dentist | 1530 Palisade Ave, Fort Lee, NJ 07024-5471 | 2005-10-11 |
Find all providers with the same taxonomy |
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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.