DR. CARL ANGELO BIFANO (NPI# 1124076500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124076500 |
| Entity Type | Individual |
| Full Name | DR. CARL ANGELO BIFANO |
| Credential | DMD |
| Practice Address |
2 Plaza Dr Ste 202 Sewell NJ 08080 |
| Mailing Address |
1 Federal St Ste Sw200 Camden NJ 08103-1155 |
| Practice Telephone | 8562704100 |
| Mailing Telephone | 8563564924 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2019-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
DI02457900 | NJ | Dental Providers |
| N | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
6833 | MD | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS019214L | PA | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 22D102457901 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | LICENSE | DS019214L | 01 |
| NJ | STATE LICENSE | DI02457900 | 01 |
| PA | 1025303770001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 E Lehigh Ave, Pm2, Philadelphia, PA 191251011 | 2157073613 | 2157075405 |
| Street Address |
2 PLAZA DR STE 202 |
| City | SEWELL |
| State | NJ |
| Zip Code | 08080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180301 | Peter Ansong | Pharmacist | 500 Egg Harbor Road, Sewell, NJ 08080 | 2020-09-27 |
| 1477018752 | Shi-iii Washington Township LLC | Alzheimer Center (Dementia Center) | 339 Greentree Road, Washington Township, NJ 08080 | 2019-01-31 |
| 1245741495 | Assoc. for Retarded Citizens. Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Fawn Drive, Sewell, NJ 08080 | 2017-10-16 |
| 1851802029 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 275 Greentree Road, Sewell, NJ 08080 | 2017-10-16 |
| 1598284770 | Bryan Hendricks | Psychologist | 123 Egg Harbor Rd., Suite 302, Sewell, NJ 08080 | 2017-09-19 |
| 1912426339 | Mary Faralli | Speech-Language Pathologist | 24 Upton Way, Sewell, NJ 08080 | 2017-09-18 |
| 1669990578 | Oaks Integrated Care | Clinic/Center | 322 Fishpond Rd, Sewell, NJ 08080 | 2017-08-31 |
| 1972032316 | Nutan K Ravani | Social Worker | 3 Heritage Valley Drive, Sewell, NJ 08080 | 2017-06-08 |
| 1447784038 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 224 West Warren Avenue, Sewell, NJ 08080 | 2017-04-20 |
| 1326572173 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 363 Ganttown Road, Turnersville, NJ 08080 | 2017-04-19 |
| Find all providers in zip 08080 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699061903 | Cooper Surgical Associates, Pa | Oral & Maxillofacial Surgery | 2 Plaza Dr, Building 2, Suite 203, Sewell, NJ 08080-9207 | 2011-06-24 |
| 1841318813 | Cooper Surgical Associates, Pa | Oral & Maxillofacial Surgery | 2 Plaza Dr, Suite 202, Bunker Hill Plaza, Sewell, NJ 08080-9207 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659923969 | Sunhee Lee Dmd Pa | Oral & Maxillofacial Surgery | 1 Dewolf Rd Ste 102, Old Tappan, NJ 07675-7084 | 2019-07-16 |
| 1336630599 | Steven Frank Bogart Dds and Hubert Gugala Dmd | Oral & Maxillofacial Surgery | 57 Route 46 Suite 207, Hackettstown, NJ 07860 | 2018-05-23 |
| 1760910046 | Southern Ocean Osic, Inc | Oral & Maxillofacial Surgery | 1322 Route 72 W Ste 204, Manahawkin, NJ 08050-2486 | 2017-05-31 |
| 1245697432 | Middletown Oral Surgery Associates, P.C. | Oral & Maxillofacial Surgery | 21 New Monmouth Road, Middletown, NJ 07748 | 2016-01-20 |
| 1992118087 | Lanoka Shores LLC | Oral & Maxillofacial Surgery | 249 S Main St Unit 4, Barnegat, NJ 08005-2301 | 2014-06-05 |
| 1316382641 | Nikolay Levintov | Oral & Maxillofacial Surgery | C3 Cornwall Dr, East Brunswick, NJ 08816 | 2013-04-30 |
| 1912248683 | Mark Park | Oral & Maxillofacial Surgery | 260 Old Hook Rd Ste 202, Westwood, NJ 07675-3123 | 2013-03-06 |
| 1457417495 | Oral & Maxillofacial Assoc of Nutley | Oral & Maxillofacial Surgery | 187 Washington Avenue, Suite 1b, Nutley, NJ 07110 | 2006-12-27 |
| 1336216795 | Joseph D Dmaio | Oral & Maxillofacial Surgery | 590 Westfield Ave, Westfield, NJ 07090 | 2006-11-29 |
| 1508930678 | David Z Evdokimow | Oral & Maxillofacial Surgery | 96 S Finley Ave, Basking Ridge, NJ 07920-1422 | 2006-11-20 |
| 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.