DR. SANFORD JACK SHIFMAN (NPI# 1992862478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992862478 |
| Entity Type | Individual |
| Full Name | DR. SANFORD JACK SHIFMAN |
| Credential | DDS |
| Practice Address |
172 Irvington Avenue South Orange NJ 07079 |
| Practice Telephone | 9737634544 |
| Practice Fax Number | 9737635735 |
| Mailing Telephone | 9737634544 |
| Mailing Fax Number | 9737635735 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D10087 | NJ | Dental Providers |
| Street Address |
172 IRVINGTON AVENUE |
| City | SOUTH ORANGE |
| State | NJ |
| Zip Code | 07079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946216 | Melissa Marie Johnson | Counselor | 9 Vose Avenue, South Orange, NJ 07079 | 2020-09-15 |
| 1730663493 | Private Quarters Hair Salon LLC | Prosthetic/Orthotic Supplier | 12 Academy Street, South Orange, NJ 07079 | 2018-09-19 |
| 1457731085 | Jespy House Inc. | Day Training, Developmentally Disabled Services | 343 Academy Street, South Orange, NJ 07079 | 2015-06-09 |
| 1760876460 | Dianne Marie Aguero-trotter | Psychologist | 400 South Orange Ave, South Orange, NJ 07079 | 2015-03-20 |
| 1679815922 | Beth L Sosin | Obstetrics & Gynecology | South Orange Ob/gyn & Infertility Group, 106 Valley Street, Ramp Entrance, South Orange, NJ 07079 | 2013-03-25 |
| 1790061745 | Obianuju Rita Mbamalu | Dentist | 71 Valley St Ste 100, South Orange, NJ 07079 | 2011-10-21 |
| 1669765061 | Aba 4 U | Behavioral Analyst | 4 South Orange Avenue Box 189, South Orange, NJ 07079 | 2011-05-18 |
| 1598903882 | Guiding Hands Pediatrics | Pediatrics | 179 Irvington Avenue, South Orange, NJ 07079 | 2009-01-26 |
| 1417161647 | Rosalyn Myrna Shapiro | Counselor | 346 Harding Drive, So Orange, NJ 07079 | 2007-05-09 |
| 1821200403 | Donald Raymond Reeves Jr. | Psychiatry & Neurology | 112 Raymond Avenue, South Orang, NJ 07079 | 2007-05-04 |
| Find all providers in zip 07079 | ||||
| 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 |
|---|---|---|---|---|
| 1982087656 | Bgaw Treatment | Dentist | 206 Montrose Ave, South Orange, NJ 07079-2417 | 2015-06-30 |
| 1205081676 | Robert Massa, Dmd, Pa | Dentist | 99 Vose Ave, South Orange, NJ 07079-2025 | 2008-11-25 |
| 1851574883 | Allcare Dental Group | Dentist | 483 S Orange Ave, South Orange, NJ 07079-2642 | 2007-12-13 |
| 1740408392 | Marjorie P Mitchell | Dentist | 240 Irvington Ave, South Orange, NJ 07079-2237 | 2007-04-20 |
| 1699830695 | James Edward Chenitz | Dentist | 358 S Orange Ave, South Orange, NJ 07079-2503 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588066 | Makram Ksouma | Dentist | 1626 Rte 130, North Brunswick, NJ 08902-3000 | 2020-11-03 |
| 1841890092 | Refka A Salib | Dentist | 730 Newark Ave Apt 11i, Jersey City, NJ 07306-2816 | 2020-10-27 |
| 1336747385 | Dennis Chung | Dentist | 464 Hillside Ave Apt B, Palisades Park, NJ 07650-1345 | 2020-10-13 |
| 1609483775 | Christopher Sonn Dds PC | Dentist | 466 Old Hook Rd Ste 24b, Emerson, NJ 07630-1368 | 2020-09-23 |
| 1316552409 | Zubia Iftikhar | Dentist | 25 Short Hills Cir # 1a, Millburn, NJ 07041-1224 | 2020-09-15 |
| 1487269916 | Syren Gonzalez Perez | Dentist | 408 Vine St Apt 1b, Elizabeth, NJ 07202-2350 | 2020-09-11 |
| 1174137715 | Bradley Curtis Entrup | Dentist | 176 Kinderkamack Rd, Park Ridge, NJ 07656-1384 | 2020-09-01 |
| 1528672375 | John Anthony Vitello | Dentist | 513 Berlin Cross Keys Rd, Sicklerville, NJ 08081-4368 | 2020-08-31 |
| 1699388611 | Janisley Garcia Martinez | Dentist | 6400 Jefferson St Apt 302, West New York, NJ 07093-5353 | 2020-08-28 |
| 1124631478 | Ismile Dental Care of Bloomfield | Dentist | 1455 Broad St Ste 105, Bloomfield, NJ 07003-3039 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH ORANGE |
| Zip Code | 07079 |
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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.