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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
22DI02648300 | NJ | Dental Providers |
Street Address |
15 BRIGANTINE ST |
City | BEACHWOOD |
State | NJ |
Zip Code | 08722-2900 |
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 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 |
---|---|---|---|---|
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 |
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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.