JERSEY SHORE DENTAL CENTER (NPI# 1205074457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205074457 |
| Entity Type | Organization |
| Organization Name | JERSEY SHORE DENTAL CENTER |
| Practice Address |
1820 Corlies Ave Suite 8 Neptune NJ 07755 |
| Practice Telephone | 7327745772 |
| Mailing Telephone | 7327745772 |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2009-01-27 |
| Authorized Official Name | DR. KHALED ELDIN (PRISEDENT) |
| Authorized Official Telephone | 7327745772 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DI 21284 | NJ | Ambulatory Health Care Facilities |
| Street Address |
1820 CORLIES AVE SUITE 8 |
| City | NEPTUNE |
| State | NJ |
| Zip Code | 07755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285604207 | James F Orlando | Internal Medicine | 1820 Corlies Ave, Suite 4b, Neptune, NJ 07753-4860 | 2006-01-23 |
| 1275958308 | Yong Shi, Md LLC | Internal Medicine | 1820 Corlies Ave, Suite 7, Neptune, NJ 07753-4860 | 2014-02-26 |
| 1033354030 | Atlantic Medical, LLC | Internal Medicine | 1820 Corlies Ave, Suite 7, Neptune, NJ 07753-4860 | 2008-12-05 |
| 1144296187 | Carney Thomas Desarno | Surgery | 1820 Corlies Ave, Neptune, NJ 07753-4860 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356989701 | Kadejah Lawrence | Physician Assistant | 1803 Nj-35, Oakhurst, NJ 07755 | 2019-12-17 |
| 1255850665 | Eric Fox Lcsw LLC. | Social Worker | 220 Monmouth Road, Suite 7, Oakhurst, NJ 07755 | 2017-09-18 |
| 1588100531 | Maurice Campanelli Dc Inc | Chiropractor | 257 Monmouth Rd Ste 1a, Oakhurst, NJ 07755 | 2017-01-16 |
| 1912387663 | Easter Seals New Jersey | Community/Behavioral Health | 1610 Route 35 South; Suite 16, Orchard Plaza, Oakhurst, NJ 07755 | 2015-06-08 |
| 1568857969 | Nicholas Grassia | Acupuncturist | 61 Monmouth Rd, Oakhurst, NJ 07755 | 2015-04-02 |
| 1568867349 | Randa Zakhary | Specialist | 603 Dow Ave, Oakhurst, NJ 07755 | 2014-10-23 |
| 1841693868 | Elizabeth C Fanciullo | Dentist | 257 Monmouth Rd Bldg B, Oakhurst, NJ 07755 | 2014-10-04 |
| 1275809071 | Alexander Sherwood Browne | Internal Medicine | 1907 Highway 35 Ste 1, Oakhurst, NJ 07755 | 2012-03-26 |
| 1932473659 | Lori M Nixon | Counselor | 1806 Hwy 35 Ste 110f, Oakhurst, NJ 07755 | 2012-02-27 |
| 1205098118 | Allison Lee Cheney | Podiatrist | 1806 State Highway 35 South, Oakhurst, NJ 07755 | 2008-07-01 |
| Find all providers in zip 07755 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396257952 | Hmh Hospitals Corporation | Clinic/Center | 1828 W Lake Ave, Neptune, NJ 07753-4663 | 2017-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254652 | Oakland Premier Dental | Clinic/Center | 410 Ramapo Valley Rd Ste 101, Oakland, NJ 07436-2716 | 2020-10-27 |
| 1689271116 | C&s Deantal Enterprises | Clinic/Center | 388 Pompton Ave Ste 5, Cedar Grove, NJ 07009-1814 | 2020-10-07 |
| 1609473347 | Mast Dental LLC | Clinic/Center | 120 Highway 33, Manalapan, NJ 07726-8477 | 2020-10-06 |
| 1962009878 | Precision Dentistry LLC | Clinic/Center | 215 Old Tappan Rd Ste 2, Old Tappan, NJ 07675-7000 | 2020-10-04 |
| 1447857685 | Dental Health Center of Monmouth Beach | Clinic/Center | 27 Beach Rd Ste 1, Monmouth Beach, NJ 07750-1387 | 2020-10-01 |
| 1033722137 | Urban Smiles Dental P.a | Clinic/Center | 776 E 3rd Ave Ste Ll2, Roselle, NJ 07203-1698 | 2020-08-28 |
| 1417573353 | Sparq Family Dental LLC | Clinic/Center | 121 Highway 36 Ste 100, West Long Branch, NJ 07764-1459 | 2020-06-16 |
| 1437774023 | Englewood Dental Arts LLC | Clinic/Center | 106 Grand Ave Ste 390, Englewood, NJ 07631-3570 | 2020-06-10 |
| 1134740707 | Paulanto Dental Clinic Corp | Clinic/Center | 189-195 Ave E, Bayonne, NJ 07002 | 2020-05-05 |
| 1356962914 | Mern Enterprises | Clinic/Center | 2022 Route 71 Ste 204, Spring Lake, NJ 07762-2291 | 2020-05-05 |
| 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.