DR. RAFAEL MIKHAILOV (NPI# 1588825715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588825715 |
| Entity Type | Individual |
| Full Name | DR. RAFAEL MIKHAILOV |
| Credential | DDS |
| Practice Address |
65 Jefferson Avenue Elizabeth NJ 07201 |
| Practice Telephone | 9085278688 |
| Practice Fax Number | 9085279399 |
| Mailing Telephone | 9085278688 |
| Mailing Fax Number | 9085279399 |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2008-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 22D102237900 | NJ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 026492 | 05 |
| Street Address |
65 JEFFERSON AVENUE |
| City | ELIZABETH |
| State | NJ |
| Zip Code | 07201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578795860 | Trinitas Regional Medical Center | General Acute Care Hospital | 65 Jefferson Avenue, Elizabeth, NJ 07201 | 2009-08-20 |
| 1023279254 | Grigoriy Yusupov | Dentist | 65 Jefferson Avenue, Elizabeth, NJ 07201 | 2008-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861750 | Columbia Dental of Elizabeth Pa | Dentist | 151 Jefferson Avenue, Elizabeth, NJ 07201 | 2020-11-04 |
| 1154950657 | Real House Inc. | Clinic/Center | 1089-91 East Jersey Street, Elizabeth, NJ 07201 | 2020-04-06 |
| 1588226161 | Latika Patel | Student in an Organized Health Care Education/Training Program | 224 Williamson Street, Elizabeth, NJ 07201 | 2019-07-03 |
| 1598221830 | Trucare Pharmacy Inc. | Pharmacy | 838 E. Grand St, Elizabeth, NJ 07201 | 2019-02-12 |
| 1346762911 | Ronel Sajouste | Non-emergency Medical Transport (VAN) | 476 Adams Avenue, Elizabeth, NJ 07201 | 2017-07-14 |
| 1134649189 | Community Access Unlimitd Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16-22 Jaques St, 3, Elizabeth, NJ 07201 | 2017-06-21 |
| 1881128932 | Rosemarie Nielson | Internal Medicine | 557 Adams Ave, 1f, Elizabeth, NJ 07201 | 2017-04-15 |
| 1467995910 | Lourdes E. Lherisson | Optometrist | 651 Kapkowski Rd., Ste. 1236, Elizabeth, NJ 07201 | 2016-11-30 |
| 1629442462 | Ong Care | Home Health | 1139 E Jersey St Ste 502, Elizabeth, NJ 07201 | 2015-11-17 |
| 1336486547 | Puerto Rican Org for Community Educational & Economic Development | Community/Behavioral Health | 1122 E. Grand St., Elizabeth, NJ 07201 | 2013-01-08 |
| Find all providers in zip 07201 | ||||
| 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 |
|---|---|---|---|---|
| 1487269916 | Syren Gonzalez Perez | Dentist | 408 Vine St Apt 1b, Elizabeth, NJ 07202-2350 | 2020-09-11 |
| 1760008486 | Jose Antonio Alfonso | Dentist | 775 N Broad St Apt A504, Elizabeth, NJ 07208-2417 | 2020-06-18 |
| 1952824310 | Family Dental Practice of New Jersey, LLC | Dentist | 560 Newark Ave Fl 2, Elizabeth, NJ 07208-3307 | 2017-07-18 |
| 1659819605 | Goodman Young Pllc | Dentist | 796 E. Kiowa Ave., Suite H12, Elizabeth, CO 80107 | 2017-02-09 |
| 1811263171 | Cassandra Kahn | Dentist | 1124 E Jersey St, Elizabeth, NJ 07201-2406 | 2012-03-30 |
| 1831498328 | Elizabeth Smiline Dental, LLC | Dentist | 1206 E Grand St, Elizabeth, NJ 07201-2309 | 2011-03-23 |
| 1629229513 | Jina Kandas | Dentist | 14 Winfield Scott Plz, Elizabeth, NJ 07201-2443 | 2008-10-09 |
| 1932328119 | Joseph Anthony Galletta | Dentist | 39 Jefferson Ave, Elizabeth, NJ 07201 | 2007-04-25 |
| 1417010984 | Gerald E Pepe | Dentist | 125 Rock Run Road, Elizabeth, PA 15037 | 2006-12-18 |
| 1700967585 | Daniel G Hill Dds PC | Dentist | 210 S Elizabeth Street, Unit E, Elizabeth, CO 80107 | 2006-10-18 |
| Find all providers in ELIZABETH | ||||
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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.