ORANGE ST DENTAL ASSOCIATES LLC (NPI# 1962944967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962944967 |
Entity Type | Organization |
Organization Name | ORANGE ST DENTAL ASSOCIATES LLC |
Practice Address |
509 Orange St Newark NJ 07107-2128 |
Practice Telephone | 9735788788 |
Practice Fax Number | 9735788799 |
Mailing Telephone | 9735788788 |
Mailing Fax Number | 9735788799 |
Enumeration Date | 2016-11-08 |
Last Update Date | 2020-02-25 |
Authorized Official Name | DR. MICHAEL SKOLNICK (OWNER) |
Authorized Official Telephone | 9735788788 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 122300000X | Dentist | Dental Providers | ||
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 | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
N | 124Q00000X | Dental Hygienist | Dental Providers | ||
N | 126800000X | Dental Assistant | Dental Providers | ||
Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
Street Address |
509 ORANGE ST |
City | NEWARK |
State | NJ |
Zip Code | 07107-2128 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750505160 | Michael J. Diamond | Dentist | 509 Orange St, Newark, NJ 07107-2128 | 2007-04-13 |
1528620242 | Neha S Patel | Dentist | 509 Orange St, Newark, NJ 07107-2128 | 2019-07-02 |
1871064709 | Ezra Jared Brown | Dentist | 509 Orange St, Newark, NJ 07107-2128 | 2018-12-17 |
1699135178 | Brick City Chiropractic LLC | Clinic/Center | 509 Orange St, Floor 2, Newark, NJ 07107-2128 | 2016-02-26 |
1730301821 | Dr. Michael J. Diamond, Pa | Dentist | 509 Orange St, Newark, NJ 07107-2128 | 2007-05-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134747272 | Kobie Blair Morgan | Counselor | Kobie Blair Morgan, Esq., Mba, Ma, Lpc, 76-78 First Street, Suite 3, Newark, NJ 07107 | 2020-07-06 |
1811522634 | Yasheika Hermitt South | Licensed Practical Nurse | North 11th Street, Newark, NJ 07107 | 2020-03-12 |
1568941375 | Orange Street Spec LLC | Dentist | 509a Orange Street Suite A, Newark, NJ 07107 | 2018-08-13 |
1548617103 | Jose Andres Morales | Case Manager/Care Coordinator | 541 Roseville Av., Newark, NJ 07107 | 2016-05-24 |
1053743997 | Center for Wound Science and Healing | General Acute Care Hospital | 495 North 13th Street, 2nd Floor, Newark, NJ 07107 | 2013-08-02 |
1750620944 | Jeevan M Mathew | Physical Therapist | 500 0range Street, Suite 2, Newark, NJ 07107 | 2013-02-07 |
1982967386 | D & M Quality of Life Services, LLP | In Home Supportive Care | 285 Roseville Avenue, Suite 118, Newark, NJ 07107 | 2012-06-20 |
1710121496 | Paul Hsu | Pharmacist | 421 Bloomfield Ave, Guardys, Newark, NJ 07107 | 2009-04-27 |
1194969774 | Prescriptions Etc Inc. | Clinic/Center | 421 Bloomfield Ave., Guardys, Newark, NJ 07107 | 2009-04-27 |
1821269630 | Chandra Gupta | Pediatrics | 156 Roseville Avenue, Newark, NJ 07107 | 2008-03-19 |
Find all providers in zip 07107 |
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 |
---|---|---|---|---|
1699390468 | Naima Mehek Javed | Dentist | 24 Jones St Apt 509, Newark, NJ 07103-3844 | 2020-06-08 |
1538713086 | Newark Square Dental Care Inc | Dentist | 5678 Thornton Ave., Newark, CA 94560 | 2019-08-01 |
1437688421 | Mid Atlantic Dental Partners Delaware 1, Pa | Dentist | 330 Christiana Medical Ctr, Newark, DE 19702-1653 | 2017-06-05 |
1902340169 | Rajinder Hernandez | Dentist | 35111 Newark Blvd Ste A, Newark, CA 94560-1258 | 2016-12-07 |
1164813218 | Eugene F Vane Jr. | Dentist | 168 Frontage Road, Newark, NJ 07114 | 2015-02-11 |
1598166688 | Gerald Au Dds Inc | Dentist | 35378 Lake Blvd, Newark, CA 94560-1360 | 2014-09-09 |
1093083156 | Marling Susana Espinosa | Dentist | 56 Ferguson St Apt E1, Newark, NJ 07105-2881 | 2011-12-05 |
1932481637 | Nachiket Dave | Dentist | 6258 Quicksilver Ave, Newark, CA 94560-5119 | 2011-09-19 |
1245538495 | Estella Guo | Dentist | 47 Boston Ct, Newark, NJ 07103-3445 | 2011-03-10 |
1891003596 | Edwin Simon Kuipers | Dentist | 210 W Park Pl, Newark, DE 19711-4519 | 2010-09-16 |
Find all providers in NEWARK |
Please comment or provide details below to improve the information on ORANGE ST DENTAL ASSOCIATES LLC.
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.