ANUP MUDULI (NPI# 1215998315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215998315 |
| Entity Type | Individual |
| Full Name | ANUP MUDULI |
| Credential | DMD |
| Practice Address |
180 Ramapo Valley Rd Oakland NJ 07436-2524 |
| Practice Telephone | 2013373797 |
| Practice Fax Number | 2013378845 |
| Mailing Telephone | 2013373797 |
| Mailing Fax Number | 2013378845 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2008-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
050719 | NY | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
22D102160600 | NJ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02680748 | 05 |
| Street Address |
180 RAMAPO VALLEY RD |
| City | OAKLAND |
| State | NJ |
| Zip Code | 07436-2524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154653327 | Ramapo Oral & Maxillofacial Surgery | Oral & Maxillofacial Surgery | 180 Ramapo Valley Rd, Route 202, Oakland, NJ 07436-2500 | 2010-02-12 |
| 1528261047 | Allison Beth Loeb | Dentist | 180 Ramapo Valley Rd, Oakland, NJ 07436-2524 | 2007-06-11 |
| 1578609541 | Amy Stevens | Dermatology | 180 Ramapo Valley Rd, Oakland, NJ 07436-2500 | 2007-01-29 |
| 1962577460 | Louis Burdman | Psychologist | 180 Ramapo Valley Rd, Oakland, NJ 07436-2524 | 2006-11-21 |
| 1720198849 | Martin S Jacobs | Oral & Maxillofacial Surgery | 180 Ramapo Valley Rd, Oakland, NJ 07436 | 2006-08-30 |
| 1750325593 | Robert Lehmann Loeb | Dentist | 180 Ramapo Valley Rd, Oakland, NJ 07436-2524 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376065680 | Jade Chinesse West | Occupational Therapy Assistant | 21 Oswego Ave, Oakland, NJ 07436 | 2017-07-10 |
| 1932521101 | Joyce Thomas | Nurse Practitioner | 14 Post Rd., Oakland, NJ 07436 | 2014-01-07 |
| 1770849739 | James A Hertel | Pharmacist | 373 Ramapo Valley Road, Oakland, NJ 07436 | 2012-04-04 |
| 1841520616 | Megan E Brooks | Physical Therapist | 100 Bauer Drive, Oakland, NJ 07436 | 2009-12-30 |
| 1669621231 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 409 Ramapo Valley Rd, Oakland, NJ 07436 | 2008-09-18 |
| 1265691190 | Donna J Lombardi-goldfus | Pediatrics | 50 Overlook Ridge, Oakland, NJ 07436 | 2008-06-05 |
| 1962547836 | Marvin Lagstein D M D P A | Dentist | 9 Post Road, Suite M1a Longhill Medical Dental Center, Oakland, NJ 07436 | 2007-02-20 |
| 1275677304 | James Joseph Scillieri | Dentist | 19 Yawpo Ave., Oakland, NJ 07436 | 2007-02-20 |
| 1528125036 | Steven William Kennelly | Specialist/Technologist | Giants Stadium, East Rutherford, NJ 07436 | 2007-01-03 |
| 1306955042 | Maurice M Maccario | Oral & Maxillofacial Surgery | 180 Ramapo Valley Road, Oakland, NJ 07436 | 2006-08-29 |
| Find all providers in zip 07436 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184144248 | Brian Goo | Dentist | 1411 E 31st St # E2, Oakland, CA 94602-1018 | 2017-06-21 |
| 1154611390 | Alex R Mcdonald | Dentist | 3300 Webster St., 810, Oakland, CA 94609-3117 | 2011-04-08 |
| 1154558989 | Erica Lynn Shook | Dentist | 3600 Broadway Ste 41, Oakland, CA 94611-5730 | 2009-06-19 |
| 1265562466 | Theodore Ng | Dentist | 1814 Franklin St Ste 100, Oakland, CA 94612-3439 | 2007-03-06 |
| 1710027917 | Larry Victor Franz | Dentist | 1624 Franklin Street, Suite 810, Oakland, CA 94612-2823 | 2007-02-07 |
| 1225191042 | William Raymond Murphy Sr. | Dentist | 560 29th St, Oakland, CA 94609-3513 | 2006-12-19 |
| 1740821396 | Sean T Lee | Dentist | 1411 E 31st St, Oakland, CA 94602-1018 | 2019-10-04 |
| 1568024115 | Kristin Lauren Lee | Dentist | Highland Hospital, 1411 E 31st St., Oakland, CA 94602 | 2019-07-03 |
| 1083177257 | Andrew Rich | Dentist | 1411 E 31st St, Oakland, CA 94602-1018 | 2019-04-12 |
| 1073029617 | Rachel Christine Chapa | Dentist | 1411 E 31st St, Oakland, CA 94602-1018 | 2017-12-19 |
| Find all providers in OAKLAND | ||||
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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.