DR. MANUEL JOHN MATOS (NPI# 1407859408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407859408 |
Entity Type | Individual |
Full Name | DR. MANUEL JOHN MATOS |
Credential | D.D.S. |
Practice Address |
230 W Jersey St Ste 302 Elizabeth NJ 07202-1352 |
Practice Telephone | 9082826998 |
Practice Fax Number | 9082820306 |
Mailing Telephone | 9082826998 |
Mailing Fax Number | 9082820306 |
Enumeration Date | 2005-05-23 |
Last Update Date | 2013-06-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
22DI02076600 | NJ | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 8265607 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366728180 | Manuel Matos Jr. | Licensed Practical Nurse | 110 Mount Read Blvd, Rochester, NY 14611-1925 | 2011-10-25 |
1932381100 | Manuel Arnaldo Matos | Anesthesiology | Calle Cedro # 34, Urb. Villa Lucia, Arecibo, PR 00612 | 2007-11-29 |
1770527533 | Manuel Matos | Internal Medicine | 1555 Long Pond Rd, Dept. of Medicine-hospitalist, Rochester, NY 14626-4122 | 2006-06-15 |
Street Address |
230 W JERSEY ST STE 302 |
City | ELIZABETH |
State | NJ |
Zip Code | 07202-1352 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063765220 | Spine and Health Care of Elizabeth | Chiropractor | 230 W Jersey St, Suite 306, Elizabeth, NJ 07202-1364 | 2012-10-24 |
1386905826 | Quantum Wellness and Rehabilitation PC | Chiropractor | 230 W Jersey St, Ste. 303, Elizabeth, NJ 07202-1364 | 2012-05-31 |
1083904734 | Lisa M. Jacobson | Dentist | 230 W Jersey St, Medical Arts Building, Suite 209, C/o Dr. W. Silverman, Elizabeth, NJ 07202-1364 | 2011-04-14 |
1538304340 | Spinal Care of Elizabeth | Chiropractor | 230 W Jersey St, Suite 306, Elizabeth, NJ 07202-1364 | 2008-12-08 |
1114181906 | Edwin R Roman Dpm LLC | Podiatrist | 230 W Jersey St, Suite 104, Elizabeth, NJ 07202-1364 | 2008-07-11 |
1831369651 | James R Dunne | Dentist | 230 W Jersey St, Elizabeth, NJ 07202-1364 | 2008-03-07 |
1326243627 | Frank Paternostro | Dentist | 230 W Jersey St, Suite 310, Elizabeth, NJ 07202-1364 | 2007-06-18 |
1558564419 | Edwin R Roman | Podiatrist | 230 W Jersey St, Suite 101, Elizabeth, NJ 07202-1364 | 2007-06-07 |
1699976860 | Ricardo Arduengo | Dentist | 230 W Jersey St, Suite 108, Elizabeth, NJ 07202-1364 | 2007-05-29 |
1891900056 | Bertram A Schneider | Chiropractor | 230 W Jersey St, Suite 303, Elizabeth, NJ 07202-1364 | 2007-05-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205446572 | Hardik Ashwinkumar Fichadiya | Student in an Organized Health Care Education/Training Program | Trinitas Regional Medical Center, 225 Williamson St, Elizabeth, NJ 07202 | 2020-08-03 |
1659935484 | Community Access Unlimited Inc. | Community/Behavioral Health | 349 West Grand Street, Apartment 303, Elizabeth, NJ 07202 | 2019-04-26 |
1891279071 | Noreen Sidhom | Physical Therapist | 59-63 Elmora Avenue, Elizabeth, NJ 07202 | 2018-09-24 |
1578082889 | Jannette L Belen | Marriage & Family Therapist | 1102 South Elmora Ave, Elizabeth, NJ 07202 | 2017-09-18 |
1679000921 | Jefferson Park Ministries, Inc | Day Training, Developmentally Disabled Services | 70 West Grand St, Elizabeth, NJ 07202 | 2017-05-17 |
1912382557 | Community Access Unlimited | Community/Behavioral Health | 414 Magie Ave, Elizabeth, NJ 07202 | 2015-07-24 |
1538587845 | Remigiusz Soltys | Internal Medicine | 225 Williamson St., Trinitas Physician's Practice, LLC, Elizabeth, NJ 07202 | 2014-04-03 |
1447674270 | One Stop Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 216 Palmer St., Elizabeth, NJ 07202 | 2014-02-14 |
1306274337 | South Filmora Optical LLC | Eyewear Supplier (Equipment, not the service) | 1000 South Filmora Ave., Suite E2, Elizabeth, NJ 07202 | 2013-10-30 |
1881021129 | Julie Allison Sorrell | Social Worker | 80 West Grand Street, Elizabeth, NJ 07202 | 2013-10-01 |
Find all providers in zip 07202 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477707628 | Elizabeth Oral and Maxillofacial Surgical Group LLC | Dentist | 429 Westfield Ave, Elizabeth, NJ 07208-1620 | 2008-11-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124638861 | Riverside Oral Surgery - Edison | Dentist | 80 Route 27, Edison, NJ 08820-3985 | 2020-08-07 |
1881227056 | New Jersey Oral Surgery & Dental Implants LLC | Dentist | 87 Route 520, Morganville, NJ 07751-1241 | 2020-02-17 |
1003457441 | Madison Dentistry LLC | Dentist | 268 Main Street, Suite B, Madison, NJ 07940 | 2019-10-07 |
1508424284 | Posh Dental LLC | Dentist | 39 Tallman Pl Ste 2, Englewood, NJ 07631-2702 | 2019-05-29 |
1124598230 | Jc Oral Health Care Pa | Dentist | 103 Greene St Fl 2, Jersey City, NJ 07302-3868 | 2018-12-01 |
1801370366 | Palisades Park Dental P.C. | Dentist | 225 Broad Ave # 102, Palisades Park, NJ 07650-1588 | 2018-09-20 |
1881174969 | Bethel Oral Surgery & Implants, PC | Dentist | 1319 Anderson Ave Ste D, Fort Lee, NJ 07024-1734 | 2018-08-17 |
1790271641 | Morristown Oral Surgery & Implantology Associates LLC | Dentist | 290 Madison Ave Ste 1, Morristown, NJ 07960-7401 | 2018-07-03 |
1255826939 | Riverside Oral Surgery - Livingston | Dentist | 209 S Livingston Ave Ste 2, Livingston, NJ 07039-4042 | 2018-06-26 |
1295249456 | Pa Dental LLC | Dentist | 17 Main St Ste 301, Robbinsville, NJ 08691-1401 | 2017-11-27 |
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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.