ALBERT R MATUZA (NPI# 1619171386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619171386 |
| Entity Type | Individual |
| Full Name | ALBERT R MATUZA |
| Credential | D.D.S. |
| Practice Address |
8710 Grand Ave Elmhurst NY 11373-4444 |
| Mailing Address |
78 Marion Ave Merrick NY 11566-3219 |
| Practice Telephone | 7184298300 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2013-12-26 |
| 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 |
042099-1 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01649150 | 05 |
| Street Address |
8710 GRAND AVE |
| City | ELMHURST |
| State | NY |
| Zip Code | 11373-4444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659360881 | Jules V. Lane, Dds | Dentist | 8710 Grand Ave, Elmhurst, NY 11373-4444 | 2005-10-20 |
| 1609070358 | Veronica Marmara | Dentist | 8710 Grand Ave, Elmhurst, NY 11373-4444 | 2007-06-14 |
| 1346443751 | Danil Farkash | Dentist | 8710 Grand Ave, Elmhurst, NY 11373-4444 | 2007-06-06 |
| 1457552838 | Nedjat Baravarian | Dentist | 8710 Grand Ave, Elmhurst, NY 11373-4444 | 2007-05-31 |
| 1861693871 | Antonio Ardisana | Dentist | 8710 Grand Ave, Elmhurst, NY 11373-4444 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152736 | Carlos Eduardo Hallo Carrasco | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 | 2020-07-30 |
| 1912524034 | Jurian Feygen Kaunang | Student in an Organized Health Care Education/Training Program | Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 | 2020-07-06 |
| 1407471352 | Shreeya Parajull | Student in an Organized Health Care Education/Training Program | 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 | 2020-06-16 |
| 1114542479 | Mahmud Omar Elfituri | Student in an Organized Health Care Education/Training Program | 79-01 Boradway, Elmhurst, NY 11373 | 2020-06-12 |
| 1568091452 | Nudjarin Unsin | Licensed Practical Nurse | 7517 41stave, Apt.f3, Elmhurst, NY 11373 | 2020-04-03 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1821647926 | Shahorin Monzoor | Student in an Organized Health Care Education/Training Program | 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 | 2019-09-11 |
| 1174184600 | Zoila Josefina Cano Rodriguez | Student in an Organized Health Care Education/Training Program | 7802 41st Ave, Elmhurst, NY 11373 | 2019-06-25 |
| 1891355756 | Kanghee Cho | Registered Nurse | 4143 77th St Elmhurst, Elmhurst, NY 11373 | 2019-06-13 |
| 1861971947 | Allen G Luke | Acupuncturist | 86-21 53 Ave, Elmhurst, NY 11373 | 2018-08-09 |
| Find all providers in zip 11373 | ||||
| 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 |
|---|---|---|---|---|
| 1861815888 | Vasilios A Kostakis | Dentist | 6070 Woodhaven Blvd Ste C2, Elmhurst, NY 11373-5545 | 2014-01-27 |
| 1801047634 | Hanuman Oral Surgery Care Pllc | Dentist | 8201 Britton Ave Apt 2c, Elmhurst, NY 11373-2433 | 2008-10-10 |
| 1003092800 | Jeffrey W Chandler Dds Md PC | Dentist | 360 W Butterfield Rd Ste 220, Elmhurst, IL 60126-5000 | 2008-01-11 |
| 1700956273 | Advanced Oral & Maxillofacial Surgery Ltd. | Dentist | 533 W North Ave., Suite 200, Elmhurst, IL 60126-2100 | 2006-11-09 |
| 1790891281 | Joseph Anthony La Spisa | Dentist | 333 W 1st St, Elmhurst, IL 60126-2641 | 2006-08-21 |
| 1306841754 | Doron Kalman | Dentist | 6070 Woodhaven Blvd, Medical Unit C-2, Elmhurst, NY 11373-5554 | 2005-06-14 |
| 1437403409 | Icahn School of Medicine At Mount Sinai | Dentist | 7901 Broadway, Elmhurst, NY 11373-1329 | 2012-10-30 |
| 1295909240 | M Lauck Sc | Dentist | 360 W Butterfield Rd, Suite 220, Elmhurst, IL 60126-5068 | 2008-04-19 |
| 1811171523 | Devender Nath Chhabra | Dentist | 8201 Britton Ave, 2c, Elmhurst, NY 11373-2470 | 2007-12-18 |
| 1457403842 | Michael James Lauck | Dentist | 360 W Butterfield Rd, Suite 220, Elmhurst, IL 60126-5068 | 2007-01-17 |
| Find all providers in ELMHURST | ||||
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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.