DR. JENISH GEORGE KIZHAKKEMURIYIL (NPI# 1164065223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164065223 |
| Entity Type | Individual |
| Full Name | DR. JENISH GEORGE KIZHAKKEMURIYIL |
| Credential | DDS |
| Practice Address |
5675 N Front St Philadelphia PA 19120-2719 |
| Mailing Address |
22 Elder Ave Bergenfield NJ 07621-1506 |
| Practice Telephone | 2152240440 |
| Mailing Telephone | 2016736391 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS042491 | PA | Dental Providers |
| Street Address |
5675 N FRONT ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19120-2719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508843459 | Janine M. Stoffey | Social Worker | 5675 N Front St, Philadelphia, PA 19120-2719 | 2005-12-30 |
| 1659984516 | Hosanna Yoh | Dentist | 5675 N Front St, Philadelphia, PA 19120-2719 | 2020-08-28 |
| 1811506579 | Jason K Robinson | Dentist | 5675 N Front St, Philadelphia, PA 19120-2719 | 2020-07-29 |
| 1699319244 | Natalie Khalil | Dentist | 5675 N Front St, Philadelphia, PA 19120-2719 | 2019-11-06 |
| 1013426089 | Solange Aneuri Abreu | Dentist | 5675 N Front St, Philadelphia, PA 19120-2719 | 2017-09-21 |
| 1861931537 | Sony Chau | Pharmacist | 5675 N Front St, Philadelphia, PA 19120-2719 | 2017-02-14 |
| 1205374691 | Elise Wakeland | Social Worker | 5675 N Front St, Philadelphia, PA 19120-2719 | 2017-02-06 |
| 1023553393 | Sumanya Narra | Physician Assistant | 5675 N Front St, Philadelphia, PA 19120-2719 | 2016-12-22 |
| 1609320860 | Parisa Parsa | Nurse Practitioner | 5675 N Front St, Philadelphia, PA 19120-2719 | 2016-08-04 |
| 1861849184 | Puja Agarwal | Dentist | 5675 N Front St, Suite/blg # 50, Philadelphia, PA 19120-2719 | 2016-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364615 | Jane Clay Zakrzewski | Social Worker | Springfield Psychological, 1420 Walnut St. Suite 1500, Philadelphia, PA 19120 | 2019-03-12 |
| 1861964264 | Yi Ty Zhang | Nurse Practitioner | 101 E Olney Ave Ste C5, Philadelphia, PA 19120 | 2018-12-23 |
| 1447799770 | John Beecroft | Counselor | 4943 North 5th Street, Philadelphia, PA 19120 | 2017-02-20 |
| 1063869915 | Syed Naved Zahid | Dentist | 5675 Nth Front St., Philadelphia, PA 19120 | 2016-05-20 |
| 1447619838 | Danielle Green | Nurse Practitioner | 5846 North 4th St, Philadelphia, PA 19120 | 2016-02-15 |
| 1134544265 | Nt&t Corporation | Pharmacy | 439 West Chew Ave 1st F, Philadelphia, PA 19120 | 2014-02-26 |
| 1417234667 | Thomas Davis | Behavioral Analyst | 101 West Spencer Street, Philadelphia, PA 19120 | 2011-11-15 |
| 1619261682 | Advanced Family Dentistry, P.C. | Dentist | 6100-02 5th Street, Storefront, Philadelphia, PA 19120 | 2011-06-07 |
| 1346539061 | Capri N. Burt | Prosthetist | 5962 N. 3rd Street, Philadelphia, PA 19120 | 2011-04-04 |
| 1063719334 | James A. Brown | Prosthetist | 5962 N. 3rd St., Phila, PA 19120 | 2011-02-22 |
| Find all providers in zip 19120 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385581 | Samir Zahedpasha | Dentist | 1933 Delancey Pl, Philadelphia, PA 19103-6611 | 2020-10-29 |
| 1164040424 | Aledy Miguelina Moreta | Dentist | 1813 Vineyard St, Philadelphia, PA 19130-2122 | 2020-07-13 |
| 1033737473 | David Agia | Dentist | 1318 Franklin Mills Cir # 807, Philadelphia, PA 19154-3130 | 2020-07-13 |
| 1710504113 | Hanna Lee | Dentist | 1616 S Rosewood St, Philadelphia, PA 19145-1519 | 2020-07-01 |
| 1982221636 | Aldo Profka | Dentist | 8001 Roosevelt Blvd Ste 304, Philadelphia, PA 19152-3039 | 2020-06-29 |
| 1558985317 | Oxford Dental LLC | Dentist | 5233 Oxford Ave, Philadelphia, PA 19124-1803 | 2020-06-07 |
| 1487277935 | Issam Ghaben | Dentist | 4210 Sansom St, Philadelphia, PA 19104-3589 | 2020-05-19 |
| 1508490509 | Mount Airy Family Dental LLC | Dentist | 1600 Ivy Hill Rd, Philadelphia, PA 19150-1008 | 2020-02-27 |
| 1801436506 | Special Outreach Services, PC | Dentist | 2301 E Allegheny Ave Ste 202, Philadelphia, PA 19134-4427 | 2020-01-10 |
| 1720624547 | Philadelphia Mills Dental Center | Dentist | 1318 Franklin Mills Cir #807, Philadelphia, PA 19154 | 2019-11-27 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19120 |
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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.