DR. MEREDITH BLITZ (NPI# 1790749695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790749695 |
| Entity Type | Individual |
| Full Name | DR. MEREDITH BLITZ |
| Other Name | DR. MEREDITH BLITZ-GOLDSTEIN |
| Credential | D.D.S. |
| Practice Address |
28 Jackson Ave Ste 1 Pompton Plains NJ 07444-1479 |
| Mailing Address |
28 Jackson Ave Pompton Plains NJ 07444-1479 |
| Practice Telephone | 9738310382 |
| Mailing Telephone | 9738310382 |
| Mailing Fax Number | 9738316942 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2019-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DI 19718 | NJ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8505306 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30 W Century Rd, Suite 210, Paramus, NJ 076521433 | 2012610170 | 2012610145 |
| Street Address |
28 JACKSON AVE STE 1 |
| City | POMPTON PLAINS |
| State | NJ |
| Zip Code | 07444-1479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730527243 | Erwin Park | Dentist | 28 Jackson Ave Ste 1, Pompton Plains, NJ 07444-1479 | 2013-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407383144 | Kaitlin Vanderhoff | Social Worker | 193 Mountain Avenue, Pompton Plains, NJ 07444 | 2017-05-12 |
| 1285026872 | Mckeever Dental Care | Dentist | 933 Rt 23, Pompton Plains, NJ 07444 | 2015-02-19 |
| 1164609277 | Mary Milbank Bodenstein | Social Worker | 640 Newark Pompton Turnpike, Pompton Plains, NJ 07444 | 2008-01-31 |
| 1548470115 | Roger R. Hancox | Counselor | 142 Route 23 North, Pompton Plains, NJ 07444 | 2007-05-23 |
| 1215147772 | Joanne Roach Stickles | Counselor | 933 Route 23 South, Suite 10, Pompton Plains, NJ 07444 | 2007-05-23 |
| 1366584583 | Gleb Koslov | Chiropractor | 933 Route 23, Pequannock, NJ 07444 | 2007-02-13 |
| 1730245556 | Ykr Orthopedics | Specialist | 901 State Route 23 South, Floor 2, Pompton Plains, NJ 07444 | 2006-12-28 |
| 1548328362 | Violeta Trajkovska | Optometrist | 500 Rt 23 North, Pompton Plains, NJ 07444 | 2006-12-05 |
| 1245308097 | L Michelle Borden | Social Worker | 21 Evans Place, Pompton Plains, NJ 07444 | 2006-12-01 |
| 1952487837 | John Liaci Sr. | Chiropractor | 381 Route 23 South, Pompton Plains, NJ 07444 | 2006-10-31 |
| Find all providers in zip 07444 | ||||
| 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 |
|---|---|---|---|---|
| 1164072856 | Meredith Blitz, Dds, LLC | Dentist | 28 Jackson Ave, Pompton Plains, NJ 07444-1479 | 2019-09-16 |
| 1730527243 | Erwin Park | Dentist | 28 Jackson Ave Ste 1, Pompton Plains, NJ 07444-1479 | 2013-06-06 |
| 1982928313 | Louis C Gubitosa and Vincent M Frey Dmd LLC | Dentist | 28 Jackson Ave, Pompton Plains, NJ 07444-1479 | 2010-03-14 |
| 1497809602 | Vincent Martin Frey | Dentist | 28 Jackson Ave, Pompton Plains, NJ 07444 | 2007-01-23 |
| 1710031968 | Louis Carmen Gubitosa | Dentist | 28 Jackson Ave, Pompton Plains, NJ 07444 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638861 | Riverside Oral Surgery - Edison | Dentist | 80 Route 27, Edison, NJ 08820-3985 | 2020-08-07 |
| 1881227056 | New Jersey Oral Surgery & Dental Implants LLC | Dentist | 87 Route 520, Morganville, NJ 07751-1241 | 2020-02-17 |
| 1003457441 | Madison Dentistry LLC | Dentist | 268 Main Street, Suite B, Madison, NJ 07940 | 2019-10-07 |
| 1508424284 | Posh Dental LLC | Dentist | 39 Tallman Pl Ste 2, Englewood, NJ 07631-2702 | 2019-05-29 |
| 1124598230 | Jc Oral Health Care Pa | Dentist | 103 Greene St Fl 2, Jersey City, NJ 07302-3868 | 2018-12-01 |
| 1801370366 | Palisades Park Dental P.C. | Dentist | 225 Broad Ave # 102, Palisades Park, NJ 07650-1588 | 2018-09-20 |
| 1881174969 | Bethel Oral Surgery & Implants, PC | Dentist | 1319 Anderson Ave Ste D, Fort Lee, NJ 07024-1734 | 2018-08-17 |
| 1790271641 | Morristown Oral Surgery & Implantology Associates LLC | Dentist | 290 Madison Ave Ste 1, Morristown, NJ 07960-7401 | 2018-07-03 |
| 1255826939 | Riverside Oral Surgery - Livingston | Dentist | 209 S Livingston Ave Ste 2, Livingston, NJ 07039-4042 | 2018-06-26 |
| 1295249456 | Pa Dental LLC | Dentist | 17 Main St Ste 301, Robbinsville, NJ 08691-1401 | 2017-11-27 |
| Find all providers with the same taxonomy | ||||
| City | POMPTON PLAINS |
| Zip Code | 07444 |
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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.