DR. JENNIFER MARIE AKKAWAY (NPI# 1508054164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508054164 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER MARIE AKKAWAY |
| Credential | DDS |
| Practice Address |
370 Grand Avenue Suite 200 Englewood NJ 07631 |
| Practice Telephone | 2018713555 |
| Practice Fax Number | 2018719096 |
| Mailing Telephone | 2018713555 |
| Mailing Fax Number | 2018719096 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2010-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
052003 | NY | Dental Providers |
| Street Address |
370 GRAND AVENUE SUITE 200 |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669438388 | Garbis Gary Baydar | Pediatrics | 370 Grand Avenue, Suite 203, Englewood, NJ 07631 | 2006-04-21 |
| 1932152261 | Cindy Wei Tung | Pediatrics | 370 Grand Avenue, Suite 203, Englewood, NJ 07631 | 2006-05-18 |
| 1467410043 | Melissa Davidson | Pediatrics | 370 Grand Avenue, Ste 203, Englewood, NJ 07631 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
| 1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
| 1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
| 1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
| 1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
| 1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
| 1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| Find all providers in zip 07631 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942673512 | A. P. Smithwick D.d.s. IIi Professional LLC | Dentist | 125 Inverness Dr E Ste 300, Englewood, CO 80112-5139 | 2015-11-04 |
| 1336574615 | Day Dream Dental Care | Dentist | 7820 Inverness Blvd E Unit 203, Englewood, CO 80112-5713 | 2013-09-05 |
| 1699078162 | Robin S Yamaguma | Dentist | 5168 S Broadway, Englewood, CO 80113-6706 | 2010-12-06 |
| 1679731764 | Pediatric Dental Associates of Colorado | Dentist | 3795 S Colorado Blvd, Englewood, CO 80113-4202 | 2008-05-27 |
| 1619938321 | Philip Charles Walter | Dentist | 11241 East Cimmarron Drive, Englewood, CO 80111-4009 | 2006-03-31 |
| 1720073158 | Kemie D Houston | Dentist | 125 Inverness Dr E, Suite 300, Englewood, CO 80112-5137 | 2005-09-12 |
| 1750759528 | Christopher W. Leyster, Dds, PC | Dentist | 125 Inverness Dr E, Suite 300, Englewood, CO 80112-5137 | 2015-09-09 |
| 1689012122 | Kids Tooth Doc | Dentist | 5168 S Broadway, Englewood, CO 80113-6706 | 2013-06-06 |
| 1740590645 | Angela D. Demoss, Dmd Inc. | Dentist | 120 W Wenger Rd, Englewood, OH 45322-2762 | 2010-10-14 |
| 1780899252 | Kemie D. Houston Dds, Ms, PC | Dentist | 125 Inverness Drive East, Suite 300, Englewood, CO 80112 | 2007-05-10 |
| Find all providers in ENGLEWOOD | ||||
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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.