PROHEALTH RIVERSIDE DENTAL, LLC (NPI# 1073151114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073151114 |
| Entity Type | Organization |
| Organization Name | PROHEALTH RIVERSIDE DENTAL, LLC |
| Practice Address |
125 River Rd Ste 104 Edgewater NJ 07020-1002 |
| Mailing Address |
1 Pro Health Plz Ste 300 New Hyde Park NY 11042 |
| Practice Telephone | 2019410088 |
| Mailing Telephone | 5166544400 |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |
| Authorized Official Name | NEIL KARNOFSKY (MANAGING PARTNER) |
| Authorized Official Telephone | 5166544400 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336798909 | Prohealth Riverside Dental, LLC | Dentist | 201 Route 17 Fl 12, Rutherford, NJ 07070-2557 | 2019-09-06 |
| 1538621305 | Prohealth Riverside Dental, LLC | Dentist | 1425 Bloomfield Street, Hoboken, NJ 07030 | 2019-04-02 |
| 1144867433 | Prohealth Riverside Dental, LLC | Dentist | 3508 Park Ave, Weehawken, NJ 07086-6006 | 2019-12-05 |
| Street Address |
125 RIVER RD STE 104 |
| City | EDGEWATER |
| State | NJ |
| Zip Code | 07020-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548815657 | Smiles On The Hudson PC | Dentist | 125 River Rd Ste 104, Edgewater, NJ 07020-1002 | 2019-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851737167 | One Hudson Medical Associates | Non-Pharmacy Dispensing Site | 1829 Hudson Park, Edgewater, NJ 07020 | 2013-05-14 |
| 1003164666 | Daisy Flores | Speech-Language Pathologist | 116 Panorama Drive, Edgewater, NJ 07020 | 2012-08-29 |
| 1518188622 | Barbara Nan Altman | Social Worker | 309 Thornton Court, Edgewater, NJ 07020 | 2007-05-02 |
| 1124173950 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 70 The Promenade Ste C5a, Edgewater, NJ 07020 | 2007-01-24 |
| 1104983717 | Edgewater Pediatrics PC | Pediatrics | 115 River Road, Suite 1003 Building #10, Edgewater, NJ 07020 | 2007-01-02 |
| 1255402293 | Skyview Dental Center LLP | Dentist | 880 River Road, 2nd Floor, Edgewater, NJ 07020 | 2006-11-13 |
| 1043228588 | Irfan Admani | Internal Medicine | 103 River Road, Edgewater, NJ 07020 | 2006-08-03 |
| 1851316319 | Duane Reade | Durable Medical Equipment & Medical Supplies | 11 Edgewater Towne Ctr, Edgewater, NJ 07020 | 2006-07-13 |
| 1679502215 | 968 River Road Radiology | Clinic/Center | 968 River Road, Edgewater, NJ 07020 | 2006-07-03 |
| 1447219191 | Corinne Jeanette Gehegan | Podiatrist | 725 River Road, Suite 201-a, Edgewater, NJ 07020 | 2006-03-21 |
| Find all providers in zip 07020 | ||||
| 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 |
|---|---|---|---|---|
| 1659926525 | Kristina Elizabeth Mangiafico | Dentist | 1401 S Ridgewood Ave Ste 6, Edgewater, FL 32132-2736 | 2019-08-07 |
| 1548815657 | Smiles On The Hudson PC | Dentist | 125 River Rd Ste 104, Edgewater, NJ 07020-1002 | 2019-08-06 |
| 1760744551 | Bridget N Remming | Dentist | 1921 Sheridan Blvd, Ste F, Edgewater Modern Dentistry and Orthodontics, Edgewater, CO 80214-1325 | 2012-06-08 |
| 1215218649 | Irina Kazbanov | Dentist | 93 Myrtle Ave, Apt 2, Edgewater, NJ 07020-1411 | 2011-08-30 |
| 1568778835 | Jessie A Han | Dentist | 357 Russell Ave, Edgewater, NJ 07020-3133 | 2010-08-25 |
| 1114199064 | Yelena Andriescu | Dentist | 23 Edgewater Towne Ctr, Edgewater, NJ 07020-1246 | 2008-04-01 |
| 1619161817 | John M Cutting | Dentist | 1 Dental Rd, Edgewater, MD 21037-1709 | 2007-08-30 |
| 1235231242 | Roger Prieto | Dentist | 1401 S Ridgewood Ave, Edgewater, FL 32132 | 2006-09-01 |
| 1568071009 | William Caleb Gillum | Dentist | 1921 Sheridan Blvd Unit F, Edgewater, CO 80214-1315 | 2020-07-30 |
| 1922572478 | Edgewater Dental Partners, PC | Dentist | 725 River Rd Ste 104, Edgewater, NJ 07020-1170 | 2019-01-17 |
| Find all providers in EDGEWATER | ||||
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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.