JAMES G MRUK (NPI# 1174623359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174623359 |
| Entity Type | Individual |
| Full Name | JAMES G MRUK |
| Credential | DDS |
| Practice Address |
11 School St Randolph NY 14772-1103 |
| Practice Telephone | 7163586001 |
| Practice Fax Number | 7163586011 |
| Mailing Telephone | 7163586001 |
| Mailing Fax Number | 7163586011 |
| Enumeration Date | 2006-09-25 |
| 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 | 26075 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | CHILD HEALTH CARE PLUS | 000770077001 | 01 |
| NY | 00981902 | 05 | |
| NY | UNITED CONCORDIA INS | 584157 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609951219 | James Joseph Mruk | Occupational Therapist | Wyoming County Community Hospital, 400 North Main St., Warsaw, NY 14569 | 2006-10-25 |
| Street Address |
11 SCHOOL ST |
| City | RANDOLPH |
| State | NY |
| Zip Code | 14772-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104136985 | Deborah Jane Fischer | Registered Nurse | 4773 Windmill Rd., Randolph, NY 14772 | 2010-10-14 |
| 1215911979 | Walter Howard Warriner | Nurse Practitioner | 356 Main Street, Randolph, NY 14772 | 2005-12-05 |
| 1780994855 | Connie Lynne Mckay | Licensed Practical Nurse | 19 New St, Randolph, NY 14772-1013 | 2010-10-07 |
| 1639567753 | Michelle Lynn Miller | Registered Nurse | 15 College Ave, Apt 1, Randolph, NY 14772-1105 | 2014-12-23 |
| 1629550264 | Alexa Dinapoli | Speech-Language Pathologist | 18 Main St, Randolph, NY 14772-1112 | 2018-08-30 |
| 1205117348 | Cheryl Wascher | Speech-Language Pathologist | 22 Main St, Randolph, NY 14772-1112 | 2011-09-02 |
| 1366723496 | Kathleen Janet Bushnell | Occupational Therapy Assistant | 18 Main St, Randolph, NY 14772-1112 | 2011-09-02 |
| 1144360033 | Randolph Central School District | Local Education Agency (LEA) | 22 Main St, Randolph, NY 14772-1112 | 2007-02-08 |
| 1184747511 | Gail Chester Sandy | Pharmacist | 117 Main St, Randolph, NY 14772-1116 | 2007-04-09 |
| 1699252049 | Meghann Hettenbaugh | Registered Nurse | 83 Conewango Rd, Randolph, NY 14772-1118 | 2018-07-27 |
| Find all providers in zip 14772 | ||||
| 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 |
|---|---|---|---|---|
| 1841814720 | Zachary Goldstein | Dentist | 1243 Sussex Turnpike, Randolph, NJ 07869-2998 | 2020-06-05 |
| 1497218580 | Christopher Lamorte | Dentist | 390 Nj-10 West, Randolph, NJ 07869 | 2019-04-07 |
| 1972067072 | Randolph Dental Group LLC | Dentist | 1 Frank Leary Way Unit 4, Randolph, MA 02368-4503 | 2019-01-23 |
| 1144739244 | Dickerson Dental Group, LLC | Dentist | 714 Route 10, Randolph, NJ 07869 | 2017-09-21 |
| 1245779479 | Mary Elizabeth Roberts | Dentist | 8 Laurel Hill Dr, Randolph, NJ 07869-4627 | 2017-02-21 |
| 1265828297 | Grigoriy Efros | Dentist | 20 Fairfield Ave, Randolph, NJ 07869-1420 | 2015-04-07 |
| 1184018061 | Yashashwini Bangalore Marappa | Dentist | 390 Nj-10, Randolph, NJ 07869 | 2015-03-27 |
| 1477677334 | Richard Toyoo Yoshikawa | Dentist | 9 School St, Randolph, VT 05060-1177 | 2007-03-18 |
| 1801955950 | Ross D Werner | Dentist | 125 N High St, Randolph, WI 53956-1267 | 2006-12-06 |
| 1174607493 | Bruce M Seidner | Dentist | 924 Route 10, Randolph, NJ 07869 | 2006-10-24 |
| Find all providers in RANDOLPH | ||||
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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.