DR. NNENNA OBIANUJU EZECHUKWU (NPI# 1558737692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558737692 |
| Entity Type | Individual |
| Full Name | DR. NNENNA OBIANUJU EZECHUKWU |
| Credential | DDS |
| Practice Address |
6200 Beach Channel Dr Arverne NY 11692-1409 |
| Practice Telephone | 7189457150 |
| Practice Fax Number | 7189452596 |
| Mailing Telephone | 7189457150 |
| Mailing Fax Number | 7189452596 |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 058123 | NY | Dental Providers |
| Street Address |
6200 BEACH CHANNEL DR |
| City | ARVERNE |
| State | NY |
| Zip Code | 11692-1409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972509206 | Maria Theresa Amago Benedicto Yu | Dentist | 6200 Beach Channel Dr, Arverne, NY 11692-1409 | 2005-06-22 |
| 1588287197 | Thomas J Meyers | Social Worker | 6200 Beach Channel Dr, Arverne, NY 11692-1409 | 2020-05-19 |
| 1518464429 | Tammy Oung | Student in an Organized Health Care Education/Training Program | 6200 Beach Channel Dr, Arverne, NY 11692-1409 | 2018-04-07 |
| 1447789490 | Kimberley Augustin | Nurse Practitioner | 6200 Beach Channel Dr, Arverne, NY 11692 | 2017-06-05 |
| 1063862092 | Luz C Santana | Counselor | 6200 Beach Channel Dr, Arverne, NY 11692-1409 | 2016-06-21 |
| 1255791612 | Joshua Ishal | Dentist | 6200 Beach Channel Dr, Arverne, NY 11692-1409 | 2016-02-28 |
| 1093173429 | Laura Beaudoin Gentes | Student in an Organized Health Care Education/Training Program | 6200 Beach Channel Dr, Arverne, NY 11692-1409 | 2016-01-30 |
| 1679944037 | Willer Constant | Dentist | 6200 Beach Channel Dr, Arverne, NY 11692-1409 | 2015-10-12 |
| 1184003121 | Abimbola Oduguwa | Pediatrics | 6200 Beach Channel Dr, Arverne, NY 11692 | 2015-05-22 |
| 1750781936 | Wanda Rodriguez | Pediatrics | 6200 Beach Channel Dr, Arverne, NY 11692-1409 | 2014-08-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194209528 | Mary Nwalozie | Licensed Practical Nurse | 69 22 Almeda Ave, Arverne, NY 11692 | 2018-09-21 |
| 1083117592 | Louise Christine Dougherty I | Registered Nurse | 6412 Ocean Ave North, Arverne, NY 11692 | 2018-03-10 |
| 1508384397 | Gineth Nelson | Counselor | 6944 De Cost Avenue, Arverne, NY 11692 | 2017-09-01 |
| 1871028217 | Patricia D Molloy | Licensed Practical Nurse | 174 Saltaire Lane, Arverne, NY 11692 | 2017-04-24 |
| 1265984934 | Natacha Jean Baptiste | Licensed Practical Nurse | 449 Beach 67th St, Apt 2, Arverne, NY 11692 | 2016-10-28 |
| 1508224320 | Anamaria Tapia | Home Health | 6518 Bayfield Avenue, Arverne, NY 11692 | 2016-02-08 |
| 1396160065 | Glynn Carbonaro | Registered Nurse | 745 Beach 79th St, Far Rockaway, NY 11692 | 2014-03-04 |
| 1558605675 | Reginald Nelson | Specialist | 363 Beach 54h St, 4e, Far-rockaway, NY 11692 | 2012-11-15 |
| 1306109616 | Felecia Stotts | Specialist | 106 Beach 59st, Apt 101, Far Rockaway, NY 11692 | 2012-06-21 |
| 1760750608 | Dolma Mitchell | Licensed Practical Nurse | 533 Beach 66 Street, Apt#2, Arverne, NY 11692 | 2011-12-07 |
| Find all providers in zip 11692 | ||||
| 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 |
|---|---|---|---|---|
| 1255791612 | Joshua Ishal | Dentist | 6200 Beach Channel Dr, Arverne, NY 11692-1409 | 2016-02-28 |
| 1679944037 | Willer Constant | Dentist | 6200 Beach Channel Dr, Arverne, NY 11692-1409 | 2015-10-12 |
| 1750762282 | Wayne G Kelly Dds PC | Dentist | 342 Beach 54th St, Arverne, NY 11692-1782 | 2015-06-10 |
| 1528231214 | Taft's Dental P.C. | Dentist | 324 Beach 59th St, Arverne, NY 11692-1642 | 2008-04-02 |
| 1841487295 | Hamid Rassekhi | Dentist | 6200 Beach Channel Dr, Arverne, NY 11692-1409 | 2007-10-01 |
| 1275673378 | Shashi V Dholakia | Dentist | 6200 Beach Channel Dr, Arverne, NY 11692-1409 | 2007-02-07 |
| 1316947476 | Consolacion Soberano | Dentist | 6710 Rockaway Beach Blvd, Arverne, NY 11692-1271 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790088 | Pamela A Michelotti | Dentist | 1003 Richmond Ave Ste A, Staten Island, NY 10314-1584 | 2020-11-04 |
| 1336749530 | Suffolk Dental Care, PC | Dentist | 3650 Route 112 Ste 105, Coram, NY 11727-4131 | 2020-10-27 |
| 1457959207 | The Dental Equation, Pllc | Dentist | 626 E Boston Post Rd, Mamaroneck, NY 10543 | 2020-10-14 |
| 1255938551 | Steven Kauftheil Dds Pllc | Dentist | 630 5th Ave Ste 1815, New York, NY 10111-1872 | 2020-10-08 |
| 1316553613 | Hihland Falls Dental Associate | Dentist | 70 Villa Pkwy, Highland Falls, NY 10928-1615 | 2020-09-22 |
| 1679188130 | Glen Cove Dental P.C. | Dentist | 44 Elm St Ste 1, Huntington, NY 11743-3403 | 2020-09-11 |
| 1255945945 | Derek Lin | Dentist | 10750 Queens Blvd Ste 2, Forest Hills, NY 11375-4266 | 2020-09-01 |
| 1104436690 | Maryam Ghorbani | Dentist | 40 Waterside Plz Apt 12b, New York, NY 10010-2636 | 2020-08-09 |
| 1700495272 | Casey Depauw | Dentist | 1066 Abbott Rd # 1, Buffalo, NY 14220-2756 | 2020-07-30 |
| 1194334607 | Asnis Dental Pllc | Dentist | 112 Alexander Ave Unit A, Lake Grove, NY 11755-0429 | 2020-07-30 |
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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.