NU DENTAL PC (NPI# 1245871029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245871029 |
| Entity Type | Organization |
| Organization Name | NU DENTAL PC |
| Practice Address |
76 Pond St Staten Island NY 10309-1797 |
| Mailing Address |
16 Riverside Ln Holmdel NJ 07733-2084 |
| Practice Telephone | 7185680405 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |
| Authorized Official Name | DR. ADMASU N GIZAHEW (OWNER/DIRECTOR) |
| Authorized Official Telephone | 7185680405 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| NU Dental | Doing Business As Name - Organization |
| Street Address |
76 POND ST |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10309-1797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154816650 | Nikki Schechter | Occupational Therapist | 3495 Richmond Road, Staten Island, NY 10309 | 2018-06-27 |
| 1659878213 | Pauline Izzo | Nurse Practitioner | 544 Darlington Ave, Staten Island, NY 10309 | 2018-04-10 |
| 1053822544 | Dufort Psychological Services Pllc | Psychologist | 401 Bloomingdale Rd Suite 6, Staten Island, NY 10309 | 2017-10-24 |
| 1902324361 | Anthony Orefice | Home Health | 55 Robin Ct, 1 St Floor, Staten Island, NY 10309 | 2017-09-06 |
| 1770007767 | Graceann Cotroneo | Specialist | 61 Plumtree Lane, 1st Fl, Staten Island, NY 10309 | 2017-08-01 |
| 1477075836 | Matthew Jordan Levine | Specialist | 15 Redwood Loop, Staten Island, NY 10309 | 2017-07-07 |
| 1619339256 | Empire Vision Center, Inc. | Eyewear Supplier (Equipment, not the service) | 205 Bricktown Way, Ste A, Staten Island, NY 10309 | 2016-03-23 |
| 1295109692 | Danielle Kinsman | Early Intervention Provider Agency | 1007 Edgegrove Avenue, Staten Island, NY 10309 | 2015-11-23 |
| 1811363591 | Daniella Aryeh | Speech-Language Pathologist | 997 Stafford Avenye, Staten Island, NY 10309 | 2015-08-17 |
| 1649652058 | Visions By Victoria Rose Ltd. | Technician/Technologist | 639 Veterans Road West, Suite 5(e), Staten Island, NY 10309 | 2015-06-22 |
| Find all providers in zip 10309 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
| 1639619208 | Clove Lakes Family Dental Pllc | Clinic/Center | 1140 Victory Blvd, Suite 1, Staten Island, NY 10301-3673 | 2017-03-02 |
| 1699898072 | Lillian Kelner Dds PC | Clinic/Center | 430 Seaview Ave, Staten Island, NY 10305-3401 | 2007-04-09 |
| 1992724025 | Jack A. Mailman, Dds, Leonard I. Flug, Dds, P.C. | Clinic/Center | 1800 Richmond Ave, Staten Island, NY 10314-3902 | 2006-07-19 |
| 1871564054 | Sujatha H De Silva Dds PC | Clinic/Center | 973 Targee Street, Staten Island, NY 10304 | 2006-01-27 |
| 1508856501 | Chainani Ashok Nanikram Bds,pc | Clinic/Center | 253 Broad St, Staten Island, NY 10304-2042 | 2005-10-21 |
| 1508339979 | Daniel Kaye | Clinic/Center | 3595 Richmond Ave, Staten Island, NY 10312-3410 | 2019-01-08 |
| 1346741337 | Kopyoff Dental Art PC | Clinic/Center | 4222 Hylan Blvd, Staten Island, NY 10308-3360 | 2018-02-24 |
| 1013423490 | Smiles Forever Dental PC | Clinic/Center | 4255 Amboy Rd, Staten Island, NY 10308-2308 | 2017-12-20 |
| 1952814998 | No Tears Dental PC | Clinic/Center | 475 Saint Marks Pl, Staten Island, NY 10301-2408 | 2017-11-13 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10309 |
Please comment or provide details below to improve the information on NU DENTAL PC.
| 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.