DR. ANDY WAN (NPI# 1194019901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194019901 |
| Entity Type | Individual |
| Full Name | DR. ANDY WAN |
| Credential | DDS |
| Practice Address |
4422 Third Avenue St. Barnabas Hospital/mills Building - Dental Bronx NY 10457 |
| Mailing Address |
210 Canal St New York NY 10013-4155 |
| Practice Telephone | 7183329888 |
| Mailing Telephone | 2123850001 |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2012-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 056280 | NY | Dental Providers |
| Street Address |
4422 THIRD AVENUE ST. BARNABAS HOSPITAL/MILLS BUILDING - DENTAL |
| City | BRONX |
| State | NY |
| Zip Code | 10457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548367873 | St. Barnabas Hospital | General Acute Care Hospital | 4422 Third Avenue, Bronx, NY 10457-2545 | 2006-09-20 |
| 1841808698 | Amr Abdulhalem Ahmed Shier | Student in an Organized Health Care Education/Training Program | 4422 Third Avenue, Im Residency Secretary - St. Barnabas Health, Bronx, NY 10457 | 2020-07-17 |
| 1164040085 | Deepa Pramod Budh | Student in an Organized Health Care Education/Training Program | 4422 Third Avenue, Mills Building, 3rd Floor, Bronx, NY 10457-1045 | 2020-07-07 |
| 1821656844 | Giorgio Haddad | Student in an Organized Health Care Education/Training Program | 4422 Third Avenue, Bronx, NY 10457 | 2019-06-04 |
| 1013574052 | David Sabbah | Student in an Organized Health Care Education/Training Program | 4422 Third Avenue, Bronx, NY 10457 | 2019-05-24 |
| 1467973495 | Elvina Clara Lingas | Student in an Organized Health Care Education/Training Program | 4422 Third Avenue, Bronx, NY 10457 | 2017-06-29 |
| 1871980508 | Neil Zacharias Limbo | Student in an Organized Health Care Education/Training Program | 4422 Third Avenue, Bronx, NY 10457 | 2015-04-21 |
| 1033523303 | Jeremy Shugar | Neuromusculoskeletal Medicine & OMM | 4422 Third Avenue, St Barnabas Hospital, Bronx, NY 10457 | 2014-06-16 |
| 1821417858 | Randi Luxenburg | Student in an Organized Health Care Education/Training Program | 4422 Third Avenue, Bronx, NY 10457 | 2014-04-07 |
| 1083986608 | Jeannelle Chaperon | Registered Nurse | 4422 Third Avenue, 2nd Fl. Annes Bldg., Bronx, NY 10457 | 2012-01-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851722 | Aruna Muthumanickam | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, The Bronx, New York City, NY 10457 | 2020-08-11 |
| 1013527753 | Cherine Awad | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue, Bronxcare Health System, Bronx, NY 10457 | 2020-08-07 |
| 1023626926 | Tolulope Oyinlola Olorunsogo | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue - Bronxcare Health System, Departmen, Suite 6h, Bronx, NY 10457 | 2020-07-16 |
| 1750999801 | Kalyan C Chilukuri | Student in an Organized Health Care Education/Training Program | Bronxcare Hospital Center, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-15 |
| 1003434457 | Nauri Estefani Abreu Roa | Student in an Organized Health Care Education/Training Program | Bronxlebanon Health System, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-13 |
| 1033737630 | Sapna Sharma | Student in an Organized Health Care Education/Training Program | St. Barnabas Hospital, 4422 Third Avenue Bronx, Bronx, NY 10457 | 2020-07-09 |
| 1194341081 | Asha Tadepalli | Optometrist | 1650 Selwyn Avenue, Suite 1c, Bronxcare Health System, Department of Ophthalmology, Bronx, NY 10457 | 2020-06-17 |
| 1578196549 | Ernesto Murray | Technician | 463 East 178st Apt#3b, Bronx New York, NY 10457 | 2020-02-19 |
| 1245891001 | Muhammad Shahzad | Student in an Organized Health Care Education/Training Program | St. Barnabas Health 4422 Third Avenue, Bronx, NY 10457 | 2019-06-24 |
| 1144886565 | Grant Joseph Gleason | Student in an Organized Health Care Education/Training Program | 4422 3rd Avenue St Barbabas Hospital Dept of Dentistry, Bronx, NY 10457 | 2019-05-10 |
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| 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 |
|---|---|---|---|---|
| 1831707959 | Jin Yan Mai-soto | Dentist | 1313 Balcom Ave Fl 1, Bronx, NY 10461-5801 | 2020-07-14 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1730742362 | Elen Kirilovski | Dentist | 234 E 149th St Dept Of, Bronx, NY 10451-5504 | 2019-04-18 |
| 1366005969 | Janet Jeonghwa Lee | Dentist | 260 E 188th Street, St. Barnabas Hospital, 1st Floor, Division of Orthodontics, Bronx, NY 10458 | 2019-04-18 |
| 1265932883 | Danielle Alyssa Winters | Dentist | 3450 Wayne Ave Apt 26j, Bronx, NY 10467-2554 | 2018-02-20 |
| 1871026435 | Joy Kay Arthur | Dentist | 1775 Grand Concourse, 6th Floor, Bronx- Lebanon Hospital Center, Dept of Dentistry, Bronx, NY 10453 | 2017-04-10 |
| 1518325703 | Excellent Dental Inc | Dentist | 1197 River Ave, Bronx, NY 10452-8005 | 2016-02-03 |
| 1598134801 | Riverdale Urgent Care Dental, LLC | Dentist | 3509 Johnson Ave, Bronx, NY 10463-1602 | 2015-09-16 |
| 1306212519 | Jhansi Lakshmi Bodapati | Dentist | 234 E 194th St, Department 2a8, Bronx, NY 10458-4302 | 2015-08-12 |
| 1982096467 | Angel Strachan | Dentist | 1770 Grand Concourse Fl 6, Department of Dentistry, Bronx, NY 10457-5524 | 2015-02-20 |
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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.