DR. AUSTIN PORT


Address: 15 Brigantine St, Beachwood, NJ 08722-2900
Phone: 7325819301

DR. AUSTIN PORT (NPI# 1811367022) 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) 1811367022
Entity Type Individual
Full Name DR. AUSTIN PORT
Credential D.M.D.
Practice Address 15 Brigantine St
Beachwood
NJ 08722-2900
Practice Telephone 7325819301
Mailing Telephone 7325819301
Enumeration Date 2015-09-30
Last Update Date 2016-08-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
22DI02648300 NJ Dental Providers

Office Location

Street Address 15 BRIGANTINE ST
City BEACHWOOD
State NJ
Zip Code 08722-2900

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639245640 Pedorthic Concepts Inc Orthotist 145 Atlantic City Blvd, Beachwood, NJ 08722 2006-11-28
1023190287 Thomas Gray Chiropractor 683 Bay Ave, Toms River, NJ 08722 2006-10-19
1568832046 Community Options, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 835 Forecastle Ave, Beachwood, NJ 08722-2407 2015-09-28
1295958395 Kimberly Ann Veith Social Worker 645 Beachwood Blvd, Beachwood, NJ 08722-2505 2007-04-10
1427507607 Patti Herrmann Dietitian, Registered 401 Halliard Ave, Beachwood, NJ 08722-2619 2016-09-28
1942603766 Sara Petersen Speech-Language Pathologist 513 Leeward Ave, Beachwood, NJ 08722-2625 2014-10-07
1336519149 New Jersey Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 300 Atlantic City Blvd, Beachwood, NJ 08722-2800 2015-10-06
1801146576 Christine Poane Social Worker 111 Admiral Ave, Beachwood, NJ 08722-2803 2012-09-11
1790229540 Poane Counseling Services, LLC. Community/Behavioral Health 111 Admiral Ave, Beachwood, NJ 08722-2803 2016-12-13
1386961704 Michael Lee Bellish Pharmacist 95 Atlantic City Blvd, Beachwood, NJ 08722-2901 2010-04-24
Find all providers in zip 08722

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992205181 Jin Choi Dentist 25106 Maidstone Ln, Beachwood, OH 44122-1732 2018-02-14
1427414762 Meckler Dental Providers (beachwood), Inc. Dentist 27540 Chagrin Blvd, Beachwood, OH 44122-4424 2015-12-31
1205158722 Leonard Paul Weiss Dentist 3681 S. Green Road, Suite 400, Beachwood, OH 44122 2010-02-25
1942440201 Jerome L. Faist Dds, Inc Dentist 3690 Orange Pl Ste 515, Beachwood, OH 44122-4466 2009-02-26
1588828768 Howard Jay Berusch Dentist 3 Bennington Ct, Beachwood, OH 44122-7500 2008-07-16
1972710580 Richard Phillip Adelstein Dentist 3401 Richmond Rd Ste 210, Beachwood, OH 44122-4160 2007-05-16
1174739015 Assad Z Tanios Dentist 659 Atlantic City Blvd, Beachwood, NJ 08722-4007 2007-05-15
1104031624 Leone M Pullella Dentist 3681 Green Rd, 400, Beachwood, OH 44122-5726 2007-05-10
1710008149 Gary E Resnik Dentist 3690 Orange Pl # 540, Beachwood, OH 44122-4464 2007-04-03
1487799896 Jay H Goldstein Dentist 3690 Orange Pl Ste 150, Beachwood, OH 44122-4476 2007-02-21
Find all providers in BEACHWOOD

Competitor

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City BEACHWOOD
Zip Code 08722

Improve Information

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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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