BRICK DENTAL CARE (NPI# 1992273155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992273155 |
| Entity Type | Organization |
| Organization Name | BRICK DENTAL CARE |
| Practice Address |
1683 Route 88 Ste C Brick NJ 08724-3072 |
| Practice Telephone | 3474551108 |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2018-11-06 |
| Authorized Official Name | DR. ADMASU NERRI GIZACHEW (PRESIDENT) |
| Authorized Official Telephone | 2315809205 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | AGN DENTAL PRACTICES, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Brick Dental Care | Doing Business As Name - Organization |
| Street Address |
1683 ROUTE 88 STE C |
| City | BRICK |
| State | NJ |
| Zip Code | 08724-3072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295072973 | Admasu N Gizachew | Dentist | 1683 Route 88 Ste C, Brick, NJ 08724-3072 | 2013-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
| 1699381681 | Kimberly Granai | Nurse Practitioner | 1617 Nj-88, Brick Township, NJ 08724 | 2020-09-16 |
| 1407461346 | Marina N Samuel | Pharmacist | 1890 Rt 88, Brick, NJ 08724 | 2020-09-08 |
| 1255974440 | Diana Rachel Williamson | Pharmacy Technician | 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 | 2019-10-21 |
| 1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
| 1417504515 | Susan B Anthony | Physical Therapist | 676 Overlook Ct, Brick, NJ 08724 | 2019-08-22 |
| 1831688076 | Jennifer S Cashin | Social Worker | 1500 Nj-88, Brick, NJ 08724 | 2018-05-03 |
| 1528555315 | James Kish Pt | Physical Therapist | 602 Yellowbrick Rd, Brick, NJ 08724 | 2018-04-17 |
| 1396262200 | Michael Stephen Zito-govert | Nurse Practitioner | 1640 Route 88 West, Suite 203, Brick, NJ 08724 | 2017-08-23 |
| 1083140420 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 East, Brick, NJ 08724 | 2017-05-04 |
| Find all providers in zip 08724 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831502350 | Brick Dental Associates, P.C. | Clinic/Center | 1683 Route 88, Brick, NJ 08724-3072 | 2014-06-03 |
| 1275750077 | Family Dentistry of Brick P.a. | Clinic/Center | 35 Beaverson Blvd, Ste 3b, Brick, NJ 08723-7812 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254652 | Oakland Premier Dental | Clinic/Center | 410 Ramapo Valley Rd Ste 101, Oakland, NJ 07436-2716 | 2020-10-27 |
| 1689271116 | C&s Deantal Enterprises | Clinic/Center | 388 Pompton Ave Ste 5, Cedar Grove, NJ 07009-1814 | 2020-10-07 |
| 1609473347 | Mast Dental LLC | Clinic/Center | 120 Highway 33, Manalapan, NJ 07726-8477 | 2020-10-06 |
| 1962009878 | Precision Dentistry LLC | Clinic/Center | 215 Old Tappan Rd Ste 2, Old Tappan, NJ 07675-7000 | 2020-10-04 |
| 1447857685 | Dental Health Center of Monmouth Beach | Clinic/Center | 27 Beach Rd Ste 1, Monmouth Beach, NJ 07750-1387 | 2020-10-01 |
| 1033722137 | Urban Smiles Dental P.a | Clinic/Center | 776 E 3rd Ave Ste Ll2, Roselle, NJ 07203-1698 | 2020-08-28 |
| 1417573353 | Sparq Family Dental LLC | Clinic/Center | 121 Highway 36 Ste 100, West Long Branch, NJ 07764-1459 | 2020-06-16 |
| 1437774023 | Englewood Dental Arts LLC | Clinic/Center | 106 Grand Ave Ste 390, Englewood, NJ 07631-3570 | 2020-06-10 |
| 1134740707 | Paulanto Dental Clinic Corp | Clinic/Center | 189-195 Ave E, Bayonne, NJ 07002 | 2020-05-05 |
| 1356962914 | Mern Enterprises | Clinic/Center | 2022 Route 71 Ste 204, Spring Lake, NJ 07762-2291 | 2020-05-05 |
| Find all providers with the same taxonomy | ||||
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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.