DR. JACK GERSHENHORN (NPI# 1225144363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225144363 |
| Entity Type | Individual |
| Full Name | DR. JACK GERSHENHORN |
| Credential | DDS |
| Practice Address |
10 W Hanover Ave Suite 101 Randolph NJ 07869-4221 |
| Practice Telephone | 9738954333 |
| Practice Fax Number | 9738954880 |
| Mailing Telephone | 9738954333 |
| Mailing Fax Number | 9738954880 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10283 | NJ | Dental Providers |
| Street Address |
10 W HANOVER AVE SUITE 101 |
| City | RANDOLPH |
| State | NJ |
| Zip Code | 07869-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134183460 | Peter James Cetta | Ophthalmology | 10 W Hanover Ave, Ste 103, Randolph, NJ 07869 | 2006-04-13 |
| 1104221381 | Randolph Family & Cosmetic Dentistry | Dentist | 10 W Hanover Ave, Suite 101, Randolph, NJ 07869-4221 | 2014-10-29 |
| 1447539879 | Philip S Messer | Dentist | 10 W Hanover Ave, Suite 101, Randolph, NJ 07869-4221 | 2011-08-16 |
| 1861711905 | Mt. Freedom Physical Therapy Pa | Clinic/Center | 10 W Hanover Ave, Randolph, NJ 07869-4221 | 2010-05-28 |
| 1356595946 | The Spa At Randolph LLC | Durable Medical Equipment & Medical Supplies | 10 W Hanover Ave, Suite 106, Randolph, NJ 07869-4221 | 2008-11-09 |
| 1760634083 | Stephen Aiello | Physical Therapist | 10 W Hanover Ave, Randolph, NJ 07869-4221 | 2008-10-17 |
| 1720295132 | Susan Abbott Maitner | Counselor | 10 W Hanover Ave, Suite 113, Randolph, NJ 07869-4221 | 2007-05-16 |
| 1356467096 | John A Stanton | Counselor | 10 W Hanover Ave, Randolph, NJ 07869-4221 | 2007-03-22 |
| 1619078789 | Health Psychology Group, LLC | Registered Nurse | 10 W Hanover Ave, Suite 110, Randolph, NJ 07869-4221 | 2006-09-25 |
| 1952402018 | Jakob Steinberg | Psychologist | 10 W Hanover Ave, Suite 110, Randolph, NJ 07869-4221 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699398149 | Jaclyn Philbin | Dietitian, Registered | 11 Middlebury Boulevard, Suite 9/10, Randolph, NJ 07869 | 2020-05-19 |
| 1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
| 1518516061 | New Jersey Center for Cognitive and Dialectical Behavior Therapy | Clinic/Center | 1250 Sussex Tpke Ste N, Randolph, NJ 07869 | 2019-09-07 |
| 1396306031 | Marilyn (lynn) G Teale | Specialist/Technologist | 1248 Sussex Tpk, Unit B11, Randolph, NJ 07869 | 2019-06-24 |
| 1497218580 | Christopher Lamorte | Dentist | 390 Nj-10 West, Randolph, NJ 07869 | 2019-04-07 |
| 1982101309 | Essex County Weightloss, LLC | Family Medicine | 81 State Road 10 East, Randolph, NJ 07869 | 2018-04-11 |
| 1699285569 | Raechel Jean Lofaro | Nurse Practitioner | 8 Chestnut Hil Road, Randolph, NJ 07869 | 2017-10-05 |
| 1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
| 1144739244 | Dickerson Dental Group, LLC | Dentist | 714 Route 10, Randolph, NJ 07869 | 2017-09-21 |
| 1053831479 | Melissa Morgan | Pediatrics | College Plaza Pediatrics, 765 Route 10 East, Ste 203, Randolph, NJ 07869 | 2017-06-27 |
| Find all providers in zip 07869 | ||||
| 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 |
|---|---|---|---|---|
| 1972055861 | Yuhui Hu Dds LLC | Dentist | 140 State Route 10, Randolph, NJ 07869-1542 | 2016-10-26 |
| 1104271121 | Dr Parnass General Dentistry LLC | Dentist | 140 Route 10 W, Randolph, NJ 07869-1542 | 2016-04-27 |
| 1437519063 | Mawna Dhamotharan Kumar | Dentist | 8305, Wynbrook Drive, Randolph, NJ 07869-1297 | 2016-02-24 |
| 1588991780 | Michael Bravman | Dentist | 111 Everdale Rd, Randolph, NJ 07869-2301 | 2009-11-09 |
| 1336315837 | Family First Dental Associates of Wausa PC | Dentist | 105 Broadway, Randolph, NE 68771 | 2008-05-05 |
| 1730394354 | Young Kyu Kim | Dentist | 924 Route 10 West, Randolph, NJ 07869 | 2007-05-14 |
| 1265556062 | Mark Parnass | Dentist | 140 Route 10 West, K-mart Plaza, Randolph, NJ 07869 | 2007-03-19 |
| 1154445955 | Dr. Parnass Family Dentistry, LLC | Dentist | 140 Route10 West, K-mart Plaza, Randolph, NJ 07869 | 2007-03-19 |
| 1336278100 | Laura Castro | Dentist | 924 Route 10 W, Charmoy Dental, Randolph, NJ 07869-1932 | 2007-03-05 |
| 1104972181 | Richard Loguercio Dds PC | Dentist | 56 So Main St, Randolph, MA 02368 | 2007-01-25 |
| Find all providers in RANDOLPH | ||||
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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.