RIVER EDGE FAMILY DENTAL (NPI# 1346662012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346662012 |
| Entity Type | Organization |
| Organization Name | RIVER EDGE FAMILY DENTAL |
| Practice Address |
130 Kinderkamack Rd Suite 303 River Edge NJ 07661-1939 |
| Practice Telephone | 2013434044 |
| Mailing Telephone | 2013434044 |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |
| Authorized Official Name | DR. MARLEN MARTIROSSIAN (PRESIDENT/OWNER) |
| Authorized Official Telephone | 2013434044 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DI02140900 | NJ | Dental Providers |
| Street Address |
130 KINDERKAMACK RD SUITE 303 |
| City | RIVER EDGE |
| State | NJ |
| Zip Code | 07661-1939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750385225 | Robert James Gallo | Obstetrics & Gynecology | 130 Kinderkamack Rd, Suite 300, River Edge, NJ 07661-1939 | 2005-06-11 |
| 1225367089 | Amerson Women Health Care | Obstetrics & Gynecology | 130 Kinderkamack Rd, Suite 300, River Edge, NJ 07661-1939 | 2009-12-08 |
| 1962683334 | Riverside Oral Surgery-river Edge | Dentist | 130 Kinderkamack Rd, Suite 204, River Edge, NJ 07661-1939 | 2007-11-14 |
| 1043415342 | Aditi Chhada | Specialist | 130 Kinderkamack Rd, Suite 301, River Edge, NJ 07661-1939 | 2007-06-18 |
| 1912042722 | Jeffrey M Gordon | Dentist | 130 Kinderkamack Rd, Suite 202, River Edge, NJ 07661-1939 | 2007-02-20 |
| 1780734277 | Marlen Martirossian | Dentist | 130 Kinderkamack Rd, Suite 306, River Edge, NJ 07661-1939 | 2007-01-10 |
| 1912060708 | Margaret S Ravits | Dermatology | 130 Kinderkamack Rd, River Edge, NJ 07661-1939 | 2006-12-19 |
| 1962565762 | Margaret Ravits Md | Dermatology | 130 Kinderkamack Rd, Suite 205, River Edge, NJ 07661-1939 | 2006-12-19 |
| 1750459467 | Hackensack Gastroenterology Associates | Specialist | 130 Kinderkamack Rd, Suite 301, River Edge, NJ 07661-1939 | 2006-12-01 |
| 1043383995 | Eric R Rosendorf | Internal Medicine | 130 Kinderkamack Rd, Suite 301, River Edge, NJ 07661-1939 | 2006-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083005151 | Dongwuk Shin | Internal Medicine | 130 Kinderkamack Rd., River Edge, NJ 07661 | 2015-02-11 |
| 1093057861 | Faina Ratner | Registered Nurse | 168 Oxford Ter, Apt # 1, River Edge, NJ 07661 | 2013-03-20 |
| 1700077674 | William Peter Kalosieh | Marriage & Family Therapist | 739 Summit Ave, River Edge, NJ 07661 | 2007-08-06 |
| 1124220959 | Angela's Angels Home Health Agency | Home Health | 912 Kinderkamack Road, Suite 6, River Edge, NJ 07661 | 2007-06-04 |
| 1780801258 | James A Ruggiero | Dentist | 110 Kinderkamack Road, River Edge, NJ 07661 | 2007-04-19 |
| 1174608178 | Jay Paul Granat | Psychologist | 1060 Main Street, Suite 307, River Edge, NJ 07661 | 2006-10-26 |
| 1912967464 | Theodore Falk | Allergy & Immunology | 63 Grand Ave, Ste 100, River Edge, NJ 07661 | 2006-03-27 |
| 1386149870 | Sharyn Zisa | Social Worker | 1060 Main St Ste 303, River Edge, NJ 07661 | 2018-03-27 |
| 1760654776 | Mark David Chapman | Social Worker | 117 Kinderkamack Rd, 2nd Floor, River Edge, NJ 07661 | 2008-03-31 |
| 1861697286 | Loren M Gelberg-goff | Social Worker | 200 Oak Ave, River Edge, NJ 07661-1028 | 2007-06-16 |
| Find all providers in zip 07661 | ||||
| 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 |
|---|---|---|---|---|
| 1558794610 | Eric Noel Maser | Dentist | 111 Kinderkamack Rd, River Edge, NJ 07661-1952 | 2013-08-13 |
| 1386859338 | John C. O'neill | Dentist | 760 Kinderkamack Rd, River Edge, NJ 07661-2447 | 2007-05-13 |
| 1780801258 | James A Ruggiero | Dentist | 110 Kinderkamack Road, River Edge, NJ 07661 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588066 | Makram Ksouma | Dentist | 1626 Rte 130, North Brunswick, NJ 08902-3000 | 2020-11-03 |
| 1841890092 | Refka A Salib | Dentist | 730 Newark Ave Apt 11i, Jersey City, NJ 07306-2816 | 2020-10-27 |
| 1336747385 | Dennis Chung | Dentist | 464 Hillside Ave Apt B, Palisades Park, NJ 07650-1345 | 2020-10-13 |
| 1609483775 | Christopher Sonn Dds PC | Dentist | 466 Old Hook Rd Ste 24b, Emerson, NJ 07630-1368 | 2020-09-23 |
| 1316552409 | Zubia Iftikhar | Dentist | 25 Short Hills Cir # 1a, Millburn, NJ 07041-1224 | 2020-09-15 |
| 1487269916 | Syren Gonzalez Perez | Dentist | 408 Vine St Apt 1b, Elizabeth, NJ 07202-2350 | 2020-09-11 |
| 1174137715 | Bradley Curtis Entrup | Dentist | 176 Kinderkamack Rd, Park Ridge, NJ 07656-1384 | 2020-09-01 |
| 1528672375 | John Anthony Vitello | Dentist | 513 Berlin Cross Keys Rd, Sicklerville, NJ 08081-4368 | 2020-08-31 |
| 1699388611 | Janisley Garcia Martinez | Dentist | 6400 Jefferson St Apt 302, West New York, NJ 07093-5353 | 2020-08-28 |
| 1124631478 | Ismile Dental Care of Bloomfield | Dentist | 1455 Broad St Ste 105, Bloomfield, NJ 07003-3039 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | RIVER EDGE |
| Zip Code | 07661 |
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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.