JDS DENTAL CARE PLLC (NPI# 1922640630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922640630 |
| Entity Type | Organization |
| Organization Name | JDS DENTAL CARE PLLC |
| Practice Address |
255 Mason Ave Staten Island NY 10305-3416 |
| Mailing Address |
15 Oliver St Apt 2h Brooklyn NY 11209-6511 |
| Practice Telephone | 7189876543 |
| Mailing Telephone | 9175610539 |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-14 |
| Authorized Official Name | DR. JOSEPH ALBANESE (OWNER) |
| Authorized Official Telephone | 9175610539 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| N | 124Q00000X | Dental Hygienist | Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Marine Dental Services | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | JDS DENTAL CARE PLLC | 15 Oliver Street, Apt. 2h, Brooklyn, New York 11209 |
| Street Address |
255 MASON AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10305-3416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043691306 | Christen Jade Carute | Dentist | 255 Mason Ave, Staten Island, NY 10305-3416 | 2015-06-12 |
| 1992150247 | Chrestene Bibawy | Dentist | 255 Mason Ave, Staten Island, NY 10305-3416 | 2016-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101517 | Gina Sinchi | Specialist | 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 | 2020-10-15 |
| 1003436783 | Ali Kassem | Student in an Organized Health Care Education/Training Program | 475 Seaview University, Staten Island, New York, Staten Island University Hospital, Department of Intern, Staten Island, Nyc, NY 10305 | 2020-04-22 |
| 1174183982 | Mohammad Ass'ad Alshami | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Ht-257(back), Staten Island-nyc, NY 10305 | 2019-06-14 |
| 1639632508 | Abdullah Jahangir | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Staten Island, Staten Island Univers, New York City, NY 10305 | 2019-04-09 |
| 1922593813 | Ifeyinwa Mary Asuzu | Student in an Organized Health Care Education/Training Program | 1 Edgewater Plaza Staten Island, New York, NY 10305 | 2018-06-25 |
| 1700377652 | Celeste Jude Chow | Speech-Language Pathologist | 841 Father Capodanno Blvd, Staten Island, NY 10305 | 2018-05-27 |
| 1972094878 | Mahmoud Shadi | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue; Staten Island Univeristy Hospital, Staten Island, NY 10305 | 2018-05-25 |
| 1396235131 | Samyak Hiteshkumar Dhruv | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue, Staten Island, NY 10305 | 2018-05-17 |
| 1720583404 | Michele Corrado | Nurse Practitioner | 27 Xenia St, Staten Island, NY 10305 | 2018-03-26 |
| 1861995912 | Erika Renick | Dietitian, Registered | 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 | 2018-03-15 |
| Find all providers in zip 10305 | ||||
| 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 |
|---|---|---|---|---|
| 1831790088 | Pamela A Michelotti | Dentist | 1003 Richmond Ave Ste A, Staten Island, NY 10314-1584 | 2020-11-04 |
| 1356847297 | Mina Farid | Dentist | 12 Yucca Dr, Staten Island, NY 10312-1634 | 2018-03-31 |
| 1760935167 | Joseph Anthony Giovinazzo | Dentist | 247 Richmond Hill Rd, Staten Island, NY 10314-5904 | 2016-08-02 |
| 1508228131 | Mark Genco | Dentist | 418 Saint Marks Pl, Staten Island, NY 10301-2434 | 2016-03-23 |
| 1336553536 | Ishtjot Saini | Dentist | 211 Richmond Hill Rd Ste 2b, Staten Island, NY 10314-5905 | 2014-06-16 |
| 1508279506 | Ryan Barrett | Dentist | 59 Reading Ave, Staten Island, NY 10312-2043 | 2014-06-06 |
| 1023449196 | Barry Mandell | Dentist | 104 Russek Dr, Staten Island, NY 10312-1630 | 2013-11-27 |
| 1447690136 | Om G Chainani | Dentist | 205 Port Richmond Ave, Staten Island, NY 10302-1311 | 2013-06-27 |
| 1821435223 | Andrea P Divernieri | Dentist | 22 Hilltop Ter, Staten Island, NY 10304-1109 | 2013-05-27 |
| 1104103340 | Randy Gulkis | Dentist | 15 1st St, Staten Island, NY 10306-2201 | 2011-11-15 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10305 |
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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.