RAISA SAMUYLOVA


Address: 5 Manor Dr, Suite #1c, Newark, NJ 07106
Phone: 9733727500

RAISA SAMUYLOVA (NPI# 1245240571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245240571
Entity Type Individual
Full Name RAISA SAMUYLOVA
Credential DDS
Practice Address 5 Manor Dr
Suite #1c
Newark
NJ 07106
Practice Telephone 9733727500
Practice Fax Number 9733721843
Mailing Telephone 9733727500
Mailing Fax Number 9733721843
Enumeration Date 2006-08-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 19201 NJ Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ 6428908 05
NJ HMO 60021407 01

Office Location

Street Address 5 MANOR DR
SUITE #1C
City NEWARK
State NJ
Zip Code 07106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285950600 Mirline Champe Licensed Practical Nurse 5 Manor Dr, Apt 15h, Newark, NJ 07106-3276 2010-04-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982175535 Mayurkumar M Rana Pharmacist Komishane's Pharmacy, 199 Stuyvesant Ave, Newak, NJ 07106 2018-12-07
1710457346 Vikki Hatcher Massage Therapist 525 Lrvington Avenue Floor 2, Newark, NJ 07106 2018-11-27
1942728258 Amen Transporation LLC Transportation Broker 105 Lenox Street, Newark, NJ 07106 2017-09-07
1073898466 Rashmi Singh Pharmacist 561-579 Irvington Ave, Newark, NJ 07106 2011-10-17
1760767669 Shridevi Patel Pharmacist 561 Irvington Avenue, Newark, NJ 07106 2011-10-12
1083629067 Walgreen Co Durable Medical Equipment & Medical Supplies 561 Irvington Ave # 579, Newark, NJ 07106 2006-07-29
1184239352 Chenbin Frederick Liao Pharmacist 561-579 Irvington Ave, Newark, NJ 07106 2020-09-14
1740550763 Maria Veronica Cruz Camacho Pharmacist 561-579 Irvington Ave, Newark, NJ 07106 2012-01-06
1093015000 Dereck L Dillard Home Health Aide 238 Smith St, Newark, NJ 07106 2010-10-25
1265614911 Mavis Camalita Faulknor Dietitian, Registered 78 Kenmore Ave, Newark, NJ 07106-1026 2007-12-04
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275179897 Pain & Sleep Therapy Center Dentist 620 Churchmans Rd Ste 203, Newark, DE 19702-1945 2019-11-19
1699275594 Ivy Hill Dental Center Dentist 679 Irvington Ave, Newark, NJ 07106-3306 2018-02-16
1164970943 Ann Simmons Dentist 571 N 6th St Fl 1, Newark, NJ 07107-2501 2016-09-21
1700330107 Minesh Patel Dds LLC Dentist 404 S 30th St, Newark, OH 43055-1238 2016-08-15
1285009357 Chestnut Hill Smiles, LLC Dentist 139 E Chestnut Hill Rd, Newark, DE 19713-4043 2015-12-01
1720469927 Ramanpreet S Nanra Dentist 6215 Market Ave, Newark, CA 94560-4033 2015-06-12
1598158966 All State Dental LLC Dentist 546 Bloomfield Ave, Newark, NJ 07107-1338 2015-03-10
1760883979 Rustam Zakiyev Dentist 114 Gotthardt St, Newark, NJ 07105-3104 2014-09-07
1700295466 Juan Emanuel Tan Santos Dentist 5270 Newpark Mall Road, Newark, CA 94560 2014-08-07
1043630197 Mark Kogan Dentist 110 Bergen St Rm B-854, Newark, NJ 07103-2495 2014-04-16
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Competitor

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City NEWARK
Zip Code 07106

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Dataset Information

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.

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