DR. THOMAS WILLIAM SUDOL (NPI# 1669558896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669558896 |
| Entity Type | Individual |
| Full Name | DR. THOMAS WILLIAM SUDOL |
| Credential | DDS |
| Practice Address |
272 Change Bridge Road Pine Brook NJ 07058 |
| Practice Telephone | 9732271888 |
| Practice Fax Number | 9734391977 |
| Mailing Telephone | 9732271888 |
| Mailing Fax Number | 9734391977 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22D10078100 | NJ | Dental Providers |
| Street Address |
272 CHANGE BRIDGE ROAD |
| City | PINE BROOK |
| State | NJ |
| Zip Code | 07058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740746296 | Stephanie Dorime | Pharmacist | 19 Chapin Road, Building D, Ste D7, Pine Brook, NJ 07058 | 2019-02-20 |
| 1083182018 | Lisa Sebro | Social Worker | 3226 Rachel Ter, Pine Brook, NJ 07058 | 2018-11-07 |
| 1245747187 | Angelsense Inc. | Emergency Response System Companies | 30 Chapin Rd Ste 1201, Pine Brook, NJ 07058 | 2018-01-01 |
| 1174042220 | 121 Learning Works, LLC | Day Training, Developmentally Disabled Services | 300 Changebridge Road, Suite 101, Pine Brook, NJ 07058 | 2017-09-10 |
| 1477521771 | Arcadian Healthcare Inc | Durable Medical Equipment & Medical Supplies | 45 Us Highway 46 East, Unit 606, Pine Brook, NJ 07058 | 2006-03-10 |
| 1447760814 | P4 Clinical LLC | Pathology | 25 Riverside Dr, Pine Brook, NJ 07058 | 2017-10-11 |
| 1043532682 | Nancy A Bayda | Pharmacist | 45 Route 46 East, Suite 609, Pine Brook, NJ 07058 | 2010-02-24 |
| 1194091405 | Michelle J Evans | Speech-Language Pathologist | 1700 Rachel Ter Apt 14, Pine Brook, NJ 07058-9305 | 2012-03-30 |
| 1851888465 | Sophie Pierre-louis | Speech-Language Pathologist | 2100 Rachel Ter Apt 15, Pine Brook, NJ 07058-9329 | 2018-04-18 |
| 1912298183 | Lauren Reiser | Speech-Language Pathologist | 3900 Rachel Ter, Apt 16, Pine Brook, NJ 07058-9358 | 2011-04-22 |
| Find all providers in zip 07058 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336356757 | Edward Chia-lung Kuo | Dentist | 358 Changebridge Rd, Pine Brook, NJ 07058-9714 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861750 | Columbia Dental of Elizabeth Pa | Dentist | 151 Jefferson Avenue, Elizabeth, NJ 07201 | 2020-11-04 |
| 1790385490 | Progressive Dental Group | Dentist | 246 N Franklin Tpke Ste 4, Ramsey, NJ 07446-1635 | 2020-10-30 |
| 1205436029 | Nimitha Kumar | Dentist | 1216 John F Kennedy Blvd W, 2nd Floor, Bayonne, NJ 07002 | 2020-10-30 |
| 1811596307 | Kinjal J Mehta | Dentist | 151 Jefferson Ave, Elizabeth, NJ 07201-2490 | 2020-10-26 |
| 1093314668 | Chandan Venkatesh | Dentist | 193 Westgate Dr, Edison, NJ 08820-1164 | 2020-10-23 |
| 1326645664 | Amed Bientz Mendez | Dentist | 700 N Broad St Ste 101, Elizabeth, NJ 07208-2310 | 2020-10-08 |
| 1407463086 | Mina Youssef | Dentist | 821 Bergen Ave Apt B2, Jersey City, NJ 07306-4522 | 2020-09-28 |
| 1912518820 | Tyler Yim | Dentist | 44 Fairfield Dr, Short Hills, NJ 07078-1703 | 2020-08-13 |
| 1902416639 | Anna Lee | Dentist | 666 Plainsboro Rd Ste 408, Plainsboro, NJ 08536-3009 | 2020-08-06 |
| 1164032413 | Qurratulann Talat Khokhar | Dentist | 53 W 56th St, Bayonne, NJ 07002-4113 | 2020-08-02 |
| Find all providers with the same taxonomy | ||||
| City | PINE BROOK |
| Zip Code | 07058 |
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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.