DR. CONDRA GAINES (NPI# 1962571224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962571224 |
| Entity Type | Individual |
| Full Name | DR. CONDRA GAINES |
| Credential | DDS |
| Practice Address |
1146 Stuyvesant Avenue Irvington NJ 07111 |
| Mailing Address |
320 South Main Street C/o Dental Health Associates, P.a 2nd Floor Phillipsburg NJ 08865 |
| Practice Telephone | 9733994242 |
| Practice Fax Number | 9733994440 |
| Mailing Telephone | 9083876120 |
| Mailing Fax Number | 9083878322 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2015-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DI021154 | NJ | Dental Providers |
| Street Address |
1146 STUYVESANT AVENUE |
| City | IRVINGTON |
| State | NJ |
| Zip Code | 07111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598831778 | Dental Health Associates Pa | Dentist | 1146 Stuyvesant Avenue, Irvington, NJ 07111 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548871163 | Le Choix Home Care LLC | Home Health | 1395-1399 Clinton Ave, Irvington, NJ 07111 | 2020-08-17 |
| 1528532447 | All America Medical Day Care | Custodial Care Facility | 141 Coit St, Irvington, NJ 07111 | 2019-01-14 |
| 1548737240 | Irvington Adult Day Care Center | Clinic/Center | 62-70 Howard Street, Irvington, NJ 07111 | 2018-10-31 |
| 1245754084 | Soul House Cruber Wellness Center | Counselor | 1144 Clinton Avenue, Irvington, NJ 07111 | 2017-08-02 |
| 1689194094 | Anthony Ijehsedeh | Nurse Practitioner | 12 Krotik Place, Irvington, NJ 07111 | 2017-06-27 |
| 1467993246 | Sia Kendema | Respite Care | 102 Paine Avenue, Irvington, NJ 07111 | 2017-03-14 |
| 1316482078 | Walgreen Co | Pharmacy | 810 Springfield Ave, Irvington, NJ 07111 | 2017-01-04 |
| 1679023915 | Lyons Pharmacy | Pharmacy | 471 Lyons Ave #79, Irvington, NJ 07111 | 2016-10-11 |
| 1952759276 | Sabreehouse | Community/Behavioral Health | 74 Welland Avenue, Irvington, NJ 07111 | 2016-05-26 |
| 1447624184 | Marius Nzo Yonkeu | Pharmacist | 19 Bruen Ave Apt C1, Irvington, NJ 07111 | 2015-11-18 |
| Find all providers in zip 07111 | ||||
| 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 |
|---|---|---|---|---|
| 1144566670 | Robert Stephen Westbrook | Dentist | 4346 Irvington Rd, Irvington, VA 22480-2120 | 2013-01-03 |
| 1962616672 | Gurpreet Kaur | Dentist | 1187 Clinton Ave, Irvington, NJ 07111-2012 | 2007-05-10 |
| 1780707927 | Aarthi C Fernandez | Dentist | 1146 Stuyvesant Ave, Irvington, NJ 07111-1059 | 2007-04-10 |
| 1508953381 | Mark Johnson | Dentist | 2 Washington Ave, Irvington, NJ 07111 | 2006-10-05 |
| 1033206818 | Joseph Alphonso Brown | Dentist | 2 Washington Avenue, Dental Health Associates Pa, Irvington, NJ 07111 | 2006-10-05 |
| 1932215969 | Irvington Family Dental LLC | Dentist | 855 Springfield Ave, Irvington, NJ 07111-3611 | 2006-08-22 |
| 1134143399 | Craig Harold Wilson | Dentist | 964 Sanford Ave, Irvington, NJ 07111-1474 | 2006-07-27 |
| 1578580130 | Warren Robert Stenvall | Dentist | 961 Sanford Ave, Irvington, NJ 07111-1421 | 2006-07-17 |
| 1982602736 | Thomas M Panitch | Dentist | 20 Myrtle Ave, Irvington, NJ 07111-3310 | 2005-07-13 |
| 1609474485 | Nidhi Anshu | Dentist | 2 Washington Ave, Irvington, NJ 07111-3550 | 2020-10-13 |
| Find all providers in IRVINGTON | ||||
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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.