DR. MARIO JOSE CORDERO-PANGRAZIO (NPI# 1548746555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548746555 |
| Entity Type | Individual |
| Full Name | DR. MARIO JOSE CORDERO-PANGRAZIO |
| Credential | DMD |
| Practice Address |
110 Bergen St Newark NJ 07103-2495 |
| Mailing Address |
14358 Cordwood Ct Saratoga CA 95070-5628 |
| Practice Telephone | 4086565953 |
| Mailing Telephone | 4086565953 |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 102757 | CA | Dental Providers |
| Street Address |
110 BERGEN ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083607188 | Justin Howard Stone | Dentist | 110 Bergen St, Reception Area 8, Newark, NJ 07103-2495 | 2005-08-24 |
| 1376169987 | Christian Frank Carcione | Dentist | 110 Bergen St, Newark, NJ 07103-2495 | 2020-06-19 |
| 1760007835 | Tyler Branson Jacobs | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2020-06-14 |
| 1649895863 | Allison Derenzi | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2020-06-12 |
| 1912521865 | Justin Shane Dinowitz | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2020-06-05 |
| 1700400058 | Michael Thinh Tran | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2020-06-02 |
| 1154944783 | Viveka Patel | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2020-05-18 |
| 1346861630 | Joshua Paul Lilly | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Dept. of Oral and Maxillofacial Surgery, Newark, NJ 07103 | 2020-04-28 |
| 1043830409 | Suzana Mamo | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2020-04-25 |
| 1073133864 | Zehra Husain | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| 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 |
|---|---|---|---|---|
| 1275179897 | Pain & Sleep Therapy Center | Dentist | 620 Churchmans Rd Ste 203, Newark, DE 19702-1945 | 2019-11-19 |
| 1699275594 | Ivy Hill Dental Center | Dentist | 679 Irvington Ave, Newark, NJ 07106-3306 | 2018-02-16 |
| 1164970943 | Ann Simmons | Dentist | 571 N 6th St Fl 1, Newark, NJ 07107-2501 | 2016-09-21 |
| 1700330107 | Minesh Patel Dds LLC | Dentist | 404 S 30th St, Newark, OH 43055-1238 | 2016-08-15 |
| 1285009357 | Chestnut Hill Smiles, LLC | Dentist | 139 E Chestnut Hill Rd, Newark, DE 19713-4043 | 2015-12-01 |
| 1720469927 | Ramanpreet S Nanra | Dentist | 6215 Market Ave, Newark, CA 94560-4033 | 2015-06-12 |
| 1598158966 | All State Dental LLC | Dentist | 546 Bloomfield Ave, Newark, NJ 07107-1338 | 2015-03-10 |
| 1760883979 | Rustam Zakiyev | Dentist | 114 Gotthardt St, Newark, NJ 07105-3104 | 2014-09-07 |
| 1700295466 | Juan Emanuel Tan Santos | Dentist | 5270 Newpark Mall Road, Newark, CA 94560 | 2014-08-07 |
| 1043630197 | Mark Kogan | Dentist | 110 Bergen St Rm B-854, Newark, NJ 07103-2495 | 2014-04-16 |
| Find all providers in NEWARK | ||||
Please comment or provide details below to improve the information on DR. MARIO JOSE CORDERO-PANGRAZIO.
| 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.