IVY HILL DENTAL CENTER (NPI# 1699275594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699275594 |
| Entity Type | Organization |
| Organization Name | IVY HILL DENTAL CENTER |
| Practice Address |
679 Irvington Ave Newark NJ 07106-3306 |
| Practice Telephone | 9733745200 |
| Mailing Telephone | 9733745200 |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |
| Authorized Official Name | DR. TONYA X. COOK (PRESIDENT) |
| Authorized Official Telephone | 9733745200 |
| Authorized Official Credential | DMD, MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 22DI02036903 | NJ | Dental Providers |
| Street Address |
679 IRVINGTON AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07106-3306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265054407 | Isatu Alet Munu | Dentist | 679 Irvington Ave, Newark, NJ 07106-3306 | 2020-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982175535 | Mayurkumar M Rana | Pharmacist | Komishane's Pharmacy, 199 Stuyvesant Ave, Newak, NJ 07106 | 2018-12-07 |
| 1710457346 | Vikki Hatcher | Massage Therapist | 525 Lrvington Avenue Floor 2, Newark, NJ 07106 | 2018-11-27 |
| 1942728258 | Amen Transporation LLC | Transportation Broker | 105 Lenox Street, Newark, NJ 07106 | 2017-09-07 |
| 1073898466 | Rashmi Singh | Pharmacist | 561-579 Irvington Ave, Newark, NJ 07106 | 2011-10-17 |
| 1760767669 | Shridevi Patel | Pharmacist | 561 Irvington Avenue, Newark, NJ 07106 | 2011-10-12 |
| 1083629067 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 561 Irvington Ave # 579, Newark, NJ 07106 | 2006-07-29 |
| 1184239352 | Chenbin Frederick Liao | Pharmacist | 561-579 Irvington Ave, Newark, NJ 07106 | 2020-09-14 |
| 1740550763 | Maria Veronica Cruz Camacho | Pharmacist | 561-579 Irvington Ave, Newark, NJ 07106 | 2012-01-06 |
| 1093015000 | Dereck L Dillard | Home Health Aide | 238 Smith St, Newark, NJ 07106 | 2010-10-25 |
| 1245240571 | Raisa Samuylova | Dentist | 5 Manor Dr, Suite #1c, Newark, NJ 07106 | 2006-08-09 |
| Find all providers in zip 07106 | ||||
| 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 |
| 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 |
| 1053656975 | 23 Branford Place Dental | Dentist | 81 Broadway, Newark, NJ 07104-3801 | 2012-12-04 |
| Find all providers in NEWARK | ||||
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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.