BENJAMIN DYLAN GOLUB


Address: 110 Bergen Street, Rutgers School of Dental Medicine, Newark, NJ 07101-1709
Phone: 9739724242

BENJAMIN DYLAN GOLUB (NPI# 1326677204) 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) 1326677204
Entity Type Individual
Full Name BENJAMIN DYLAN GOLUB
Practice Address 110 Bergen Street
Rutgers School of Dental Medicine
Newark
NJ 07101-1709
Mailing Address 50 Blueberry Drive
Woodcliff Lake
NJ 07677
Practice Telephone 9739724242
Enumeration Date 2020-04-03
Last Update Date 2020-04-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 110 BERGEN STREET
RUTGERS SCHOOL OF DENTAL MEDICINE
City NEWARK
State NJ
Zip Code 07101-1709

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841275609 Robert E. Binder Dentist 110 Bergen Street, New Jersey Dental School, Department of Orthodontics, Newark, NJ 07101-1709 2005-12-14
1255834917 Husham A Edani Student in an Organized Health Care Education/Training Program 110 Bergen Street, Newark, NJ 07101-1709 2018-03-08
1598009292 Vaishali Singhal Dentist 110 Bergen Street, Rutgers School of Dental Medicine, Newark, NJ 07103 2012-11-19
1194078709 Univ of Med & Dent of Nj Clinic/Center 110 Bergen Street, Newark, NJ 07101-1709 2012-10-19
1528392982 Meghan E Hatfield Dentist 110 Bergen Street, Room C790, Newark, NJ 07101 2009-10-01
1962684142 Samar Hubbi Dentist 110 Bergen Street, Reception Area #4, Newark, NJ 07101-0328 2007-11-29
1669500393 Cecile Arlene Feldman Dentist 110 Bergen Street, New Jersey Dental School, Newark, NJ 07103 2007-03-02
1013059013 Raouf M Mansour Dentist 110 Bergen Street, Umdnj-new Jersey Dental School, Newark, NJ 07101 2007-02-13
1033152251 Ira J Saber Dentist 110 Bergen Street, Newark, NJ 07101-1709 2006-06-14
1447218037 Harold Victor Cohen Dentist 110 Bergen Street, Room D860, Newark, NJ 07101-1709 2006-05-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043788300 Winner & Associates, LLC Counselor 1004 Broad Street (suite 206), Newark, NJ 07101 2018-11-05
1679068373 Diego David Garces Grosse Student in an Organized Health Care Education/Training Program 183 South Orange Avenue - Level F, Newark, NJ 07101 2018-06-25
1659880672 Vanessa Latouche Social Worker 183 S Orange Ave. C-level, Newark, NJ 07101 2017-09-21
1295269397 Anand Rajen Desai Student in an Organized Health Care Education/Training Program 185 South Orange Street, Newark, NJ 07101 2017-04-14
1942655568 Ahmed Bilal Sheikh Student in an Organized Health Care Education/Training Program 150 Bergen Street, Uh I-248, Newark, NJ 07101 2016-05-02
1558758524 Hyunseok Kim Student in an Organized Health Care Education/Training Program 150 Bergen Street, Uh-i248, Newark, NJ 07101 2015-04-17
1750776951 David Christopher Palange Student in an Organized Health Care Education/Training Program 185 South Orange Ave, Msb G-538, Newark, NJ 07101 2015-04-03
1720340649 Noah Aram Melikian Student in an Organized Health Care Education/Training Program 183 South Orange Ave., Dept of Psychiatry, Newark, NJ 07101 2012-06-15
1902125701 Atuhani Seth Burnett Surgery 150 Bergen Street, Suite E-401, Newark, NJ 07101 2010-05-19
1427200385 Gary Todd Fishbein Dentist 150 Bergen Street, Unit 1, Room C-401, Newark, NJ 07101 2008-10-22
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477165959 Nikolina Markovic Student in an Organized Health Care Education/Training Program 140 Bergen St # I121, Newark, NJ 07103-2425 2020-08-17
1770191413 Matthias Dunse Student in an Organized Health Care Education/Training Program 90 Bergen St # 5200, Newark, NJ 07103-2425 2020-07-20
1659998805 Alejandra Lazaro Student in an Organized Health Care Education/Training Program 35982 Burning Tree Dr, Newark, CA 94560-1530 2020-07-02
1912524968 Tyson Mellish Anthony Student in an Organized Health Care Education/Training Program 185 S Orange Ave Bldg G595, Newark, NJ 07103-2757 2020-06-25
1891319646 Mary Thi Tran Student in an Organized Health Care Education/Training Program 6230 Smith Ave, Newark, CA 94560-4541 2020-06-07
1891319638 Onoyom O Onyile Student in an Organized Health Care Education/Training Program 110 Bergen St Rm C-723, Newark, NJ 07103-2495 2020-06-07
1235750936 Dave Arnanth Thiyagaram Student in an Organized Health Care Education/Training Program 185 South Orange Ave Medical Science Building, Suite G, Newark, NJ 07103-2757 2020-05-04
1619597093 Naana Boachie Student in an Organized Health Care Education/Training Program 11 7th Ave Apt 5c, Newark, NJ 07104-3303 2020-04-25
1447870480 Hadeel Samy Sadek Student in an Organized Health Care Education/Training Program 150 Bergen St # Uhi248, Newark, NJ 07103-2496 2020-04-20
1225657836 Deneshia Mcintosh Student in an Organized Health Care Education/Training Program 185 S Orange Ave Bldg G594, Newark, NJ 07103-2757 2020-04-14
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City NEWARK
Zip Code 07101

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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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