GARDEN STATE HEALTHY SMILE PC (NPI# 1174036990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174036990 |
| Entity Type | Organization |
| Organization Name | GARDEN STATE HEALTHY SMILE PC |
| Practice Address |
170 Morris Ave Ste A Long Branch NJ 07740-6660 |
| Practice Telephone | 7327287075 |
| Practice Fax Number | 7327280337 |
| Mailing Telephone | 7327287075 |
| Mailing Fax Number | 7327280337 |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |
| Authorized Official Name | DR. NAMIK YUSUFOV (PROVIDER) |
| Authorized Official Telephone | 7327287075 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
170 MORRIS AVE STE A |
| City | LONG BRANCH |
| State | NJ |
| Zip Code | 07740-6660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043789563 | Lauryn Elaine Balestiero | Social Worker | 75 North Bath Avenue, Long Branch, NJ 07740 | 2018-11-14 |
| 1063991768 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 96 Church St. Apt. 317, Aberdeen, NJ 07740 | 2018-08-13 |
| 1649765785 | Tatiana Nuzum | Student in an Organized Health Care Education/Training Program | 300 2nd Ave # Sw209, Long Branch, NJ 07740 | 2018-06-29 |
| 1558862466 | Melissa Gagliardi | Social Worker | 274 Bath Avenue, Unit 9, Long Branch, NJ 07740 | 2018-02-26 |
| 1871966879 | Caringhouse Projects, Inc | Respite Care | 218 Highland Avenue, Long Branch, NJ 07740 | 2015-11-12 |
| 1083096556 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 73a Dudley St., Long Branch, NJ 07740 | 2015-06-22 |
| 1629450101 | Jonathan Kristan | Ophthalmology | 279 3rd Ave Ste 204, Long Branch, NJ 07740 | 2015-06-22 |
| 1730510769 | Elizabeth Worth | Registered Nurse | 63dunbar Ave, Long Branch, NJ 07740 | 2013-12-02 |
| 1710231022 | Pasquale Evangelista | Radiology | 300 2nd Ave., Department of Radiology, Long Branch, NJ 07740 | 2012-11-08 |
| 1326314162 | John Way Chin | Pharmacy | 134 Brighton Avenue, Long Branch, NJ 07740 | 2012-03-27 |
| Find all providers in zip 07740 | ||||
| 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 |
|---|---|---|---|---|
| 1366938656 | Gaurav P. Shah | Dentist | 300 2nd Ave # S233, Long Branch, NJ 07740-6395 | 2018-07-10 |
| 1235108242 | Souren Edward Gokberk | Dentist | 145 Brighton Ave, Long Branch, NJ 07740-5338 | 2006-03-14 |
| 1417516071 | Danielle Ruda | Dentist | 335 Broadway, Long Branch, NJ 07740-6901 | 2019-06-07 |
| 1376021055 | Regina Gido | Dentist | 300 2nd Ave, Long Branch, NJ 07740-6303 | 2018-08-03 |
| 1518453604 | Christopher Cermenello | Dentist | 325 Broadway, Long Branch, NJ 07740 | 2018-07-02 |
| 1992290027 | Sonia Chugh | Dentist | 300 2nd Ave, Long Branch, NJ 07740-6303 | 2018-07-01 |
| 1699125203 | Jay Moon | Dentist | 300 2nd Ave, Long Branch, NJ 07740-6303 | 2016-06-14 |
| 1104182773 | Pinky Bhavsar | Dentist | 300 2nd Ave, Long Branch, NJ 07740-6303 | 2012-04-07 |
| 1770614331 | Peter A Defazio | Dentist | 279 3rd Ave, Suite 303, Long Branch, NJ 07740-6205 | 2007-03-07 |
| 1376606285 | Alan H Bresler | Dentist | 668 Westwood Ave, Long Branch, NJ 07740-5009 | 2006-12-19 |
| Find all providers in LONG BRANCH | ||||
| City | LONG BRANCH |
| Zip Code | 07740 |
Please comment or provide details below to improve the information on GARDEN STATE HEALTHY SMILE PC.
| 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.