DR. SAMIN F NAWAZ


Address: 110 Bergen St, Room C-790, Newark, NJ 07103-2495
Phone: 9739724690

DR. SAMIN F NAWAZ (NPI# 1750794996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750794996
Entity Type Individual
Full Name DR. SAMIN F NAWAZ
Credential DMD, MDS
Practice Address 110 Bergen St
Room C-790
Newark
NJ 07103-2495
Practice Telephone 9739724690
Mailing Telephone 9739724690
Enumeration Date 2014-06-05
Last Update Date 2014-06-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
22DI02568600 NJ Dental Providers

Office Location

Street Address 110 BERGEN ST
ROOM C-790
City NEWARK
State NJ
Zip Code 07103-2495

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083607188 Justin Howard Stone Dentist 110 Bergen St, Reception Area 8, Newark, NJ 07103-2495 2005-08-24
1376169987 Christian Frank Carcione Dentist 110 Bergen St, Newark, NJ 07103-2495 2020-06-19
1760007835 Tyler Branson Jacobs Student in an Organized Health Care Education/Training Program 110 Bergen St, Newark, NJ 07103-2495 2020-06-14
1649895863 Allison Derenzi Student in an Organized Health Care Education/Training Program 110 Bergen St, Newark, NJ 07103-2495 2020-06-12
1912521865 Justin Shane Dinowitz Student in an Organized Health Care Education/Training Program 110 Bergen St, Newark, NJ 07103-2495 2020-06-05
1700400058 Michael Thinh Tran Student in an Organized Health Care Education/Training Program 110 Bergen St, Newark, NJ 07103-2495 2020-06-02
1154944783 Viveka Patel Student in an Organized Health Care Education/Training Program 110 Bergen St, Newark, NJ 07103-2495 2020-05-18
1346861630 Joshua Paul Lilly Student in an Organized Health Care Education/Training Program 110 Bergen St, Dept. of Oral and Maxillofacial Surgery, Newark, NJ 07103 2020-04-28
1043830409 Suzana Mamo Student in an Organized Health Care Education/Training Program 110 Bergen St, Newark, NJ 07103-2495 2020-04-25
1073133864 Zehra Husain Student in an Organized Health Care Education/Training Program 110 Bergen St, Newark, NJ 07103-2495 2020-04-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124657077 Yingna Liu Student in an Organized Health Care Education/Training Program Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 2020-04-03
1568029684 Martins Akhibi Nurse Practitioner 178 Newton Street, Newark, NJ 07103 2019-05-23
1972168482 Newark Renaissance House, Inc Rehabilitation, Substance Use Disorder Unit 50-56 Norfolk Street, Newark, NJ 07103 2019-05-09
1346709235 Ian Wang Yu Student in an Organized Health Care Education/Training Program 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 2019-03-19
1437648417 Stephen Vanbeek Internal Medicine 185 S Orange Ave Rm 547, Newark, NJ 07103 2018-05-06
1073019444 Geoffrey Alexander Talis Student in an Organized Health Care Education/Training Program 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 2018-04-03
1285139907 Thomas Georg Bachmann Student in an Organized Health Care Education/Training Program 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 2018-03-26
1154825289 Shammi A Patel Student in an Organized Health Care Education/Training Program 185 S Orange Ave # Msbg594, Newark, NJ 07103 2018-03-22
1982122545 North Jersey Aids Alliance Clinic/Center 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 2017-09-05
1134655533 Yasmin N Abedin Student in an Organized Health Care Education/Training Program 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 2017-05-04
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Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184099251 Child Smiles Spec LLC Dentist 67-73 Fillmore Street, Newark, NJ 07105 2015-12-01
1235395971 Dara Siegel Dentist 110 Bergen St Ste 883a, Newark, NJ 07103 2008-08-01
1245303387 Omega Endodontics, LLC Dentist 31 Omega Dr, Suite J-31, Newark, DE 19713-2058 2006-11-16
1003425562 A&c Dental Concepts LLC Dentist 233 Lafayette St, Newark, NJ 07105-1813 2020-07-29
1306479902 Childsmiles PC Holdings Nj Pa Dentist 45 Bleeker St, Newark, NJ 07102-1913 2020-02-21
1275054066 Sara E Soumeeh Dentist 66 Somme St, Newark, NJ 07105-3612 2017-06-30
1013468040 Infinite Endodontics 2 Dentist 66 Somme St, Newark, NJ 07105-3612 2016-10-14
1073061297 Marianella Natera-fernandez Dentist 110 Bergen St, D883, Newark, NJ 07103-2495 2016-09-16
1144612250 Carla Yvonne Falcon Dentist 110 Bergen St, Newark, NJ 07103-2495 2015-02-26
1528392982 Meghan E Hatfield Dentist 110 Bergen Street, Room C790, Newark, NJ 07101 2009-10-01
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Competitor

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City NEWARK
Zip Code 07103

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Dataset Information

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.

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