DR. ADMASU N GIZACHEW (NPI# 1295072973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295072973 |
| Entity Type | Individual |
| Full Name | DR. ADMASU N GIZACHEW |
| Practice Address |
1683 Route 88 Ste C Brick NJ 08724-3072 |
| Mailing Address |
4720 Center Blvd Suite 1902 Long Island City NY 11109-5619 |
| Practice Telephone | 3474551108 |
| Mailing Telephone | 2315809205 |
| Mailing Fax Number | 8885572030 |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2018-11-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 22DI02524100 | NJ | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 637 Wyckoff Ave, Suite 236, Wyckoff, NJ 074811438 | 8888080361 | 8885572030 |
| Street Address |
1683 ROUTE 88 STE C |
| City | BRICK |
| State | NJ |
| Zip Code | 08724-3072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992273155 | Brick Dental Care | Clinic/Center | 1683 Route 88 Ste C, Brick, NJ 08724-3072 | 2018-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
| 1699381681 | Kimberly Granai | Nurse Practitioner | 1617 Nj-88, Brick Township, NJ 08724 | 2020-09-16 |
| 1407461346 | Marina N Samuel | Pharmacist | 1890 Rt 88, Brick, NJ 08724 | 2020-09-08 |
| 1255974440 | Diana Rachel Williamson | Pharmacy Technician | 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 | 2019-10-21 |
| 1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
| 1417504515 | Susan B Anthony | Physical Therapist | 676 Overlook Ct, Brick, NJ 08724 | 2019-08-22 |
| 1831688076 | Jennifer S Cashin | Social Worker | 1500 Nj-88, Brick, NJ 08724 | 2018-05-03 |
| 1528555315 | James Kish Pt | Physical Therapist | 602 Yellowbrick Rd, Brick, NJ 08724 | 2018-04-17 |
| 1396262200 | Michael Stephen Zito-govert | Nurse Practitioner | 1640 Route 88 West, Suite 203, Brick, NJ 08724 | 2017-08-23 |
| 1083140420 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 East, Brick, NJ 08724 | 2017-05-04 |
| Find all providers in zip 08724 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780130377 | Eastern Dental of Ocean/monmouth, LLC | Dentist | 2770 Hooper Ave., Unit 4, Brick, NJ 08723 | 2016-09-01 |
| 1528511789 | Amara Dental of Brick, P.a. | Dentist | 7 Brick Plaza, Brick, NJ 08723 | 2016-07-25 |
| 1427497619 | Ralph John Scaccia | Dentist | 525 Route 70 Ste 3a, Brick, NJ 08723-4022 | 2013-06-20 |
| 1972872083 | Encore Dental PC | Dentist | 185 Drum Point Rd, Brick, NJ 08723-6372 | 2011-12-19 |
| 1386854255 | John H Fagioli | Dentist | 526 Drum Point Rd, Brick, NJ 08723-6902 | 2007-05-22 |
| 1073730040 | Carol Mumma Stanton | Dentist | 17 Beaverson Blvd, Brick, NJ 08723-7832 | 2007-04-19 |
| 1386767754 | Family Union Dental Pa | Dentist | 1925 Route 88, Brick, NJ 08724-3125 | 2007-04-09 |
| 1912030495 | Sophia Nichols | Dentist | 1929 Route 88, Brick, NJ 08724-3151 | 2007-03-13 |
| 1477685683 | Kevin Mosmen | Dentist | 1610 Route 88 Ste 201, Brick, NJ 08724-3018 | 2007-03-12 |
| 1407914377 | Steven Louis Weiner | Dentist | 34 Lanes Mill Road, Brick, NJ 08724 | 2006-12-04 |
| Find all providers in BRICK | ||||
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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.