DR. GARY POTOK (NPI# 1265472930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265472930 |
| Entity Type | Individual |
| Full Name | DR. GARY POTOK |
| Credential | DMD |
| Practice Address |
101 2nd St Lakewood NJ 08701-3324 |
| Practice Telephone | 7323636655 |
| Mailing Telephone | 7323636655 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2017-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22DI01748600 | NJ | Dental Providers |
| Street Address |
101 2ND ST |
| City | LAKEWOOD |
| State | NJ |
| Zip Code | 08701-3324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980917 | Ocean Health Initiatives | Clinic/Center | 101 2nd St, Lakewood, NJ 08701-3324 | 2005-05-23 |
| 1770125122 | Arielle Cheifetz | Advanced Practice Midwife | 101 2nd St, Lakewood, NJ 08701-3324 | 2019-10-16 |
| 1114494598 | Melissa Mutter | Social Worker | 101 2nd St, Lakewood, NJ 08701-3324 | 2018-10-24 |
| 1750868931 | Taijoon Park | Dentist | 101 2nd St, Lakewood, NJ 08701-3324 | 2018-07-20 |
| 1942792320 | Katherine Anne Welter | Advanced Practice Midwife | 101 2nd St, Lakewood, NJ 08701-3324 | 2018-06-01 |
| 1609382670 | Andrew Clark | Nurse Practitioner | 101 2nd St, Lakewood, NJ 08701-3324 | 2017-12-28 |
| 1558877746 | Angela Jean Romero | Nurse Practitioner | 101 2nd St, Lakewood, NJ 08701-3324 | 2017-12-26 |
| 1467968396 | Tina Wismar | Nurse Practitioner | 101 2nd St, Lakewood, NJ 08701-3324 | 2017-12-14 |
| 1922512946 | Kendie Castillo | Nurse Practitioner | 101 2nd St, Lakewood, NJ 08701-3324 | 2017-11-29 |
| 1811410277 | Robert Hildebrandt | Dietitian, Registered | 101 2nd St, Lakewood, NJ 08701-3324 | 2017-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787393 | Sky Care Aba LLC | Social Worker | 41 Carasaljo Drive, Lakewood, NJ 08701 | 2020-07-20 |
| 1487276325 | Teresa Rose Alvarez | Counselor | 1215 Nj-70 W, Lakewood, NJ 08701 | 2020-05-14 |
| 1417588468 | Miriam Pelberg | Behavioral Analyst | 519 Second St., Lakewood, NJ 08701 | 2020-01-29 |
| 1639700529 | Rivky Parnes | Occupational Therapy Assistant | 110 Hillside Bullivard, Lakewood, NJ 08701 | 2020-01-29 |
| 1659910172 | Esther Gold | Behavioral Analyst | 611 Stirling Ave A, Lakewood Township, NJ 08701 | 2020-01-01 |
| 1649816323 | Julie Mcculley | Orthotist | 1353 River Ave Suite #4, Lakewood, NJ 08701 | 2019-11-18 |
| 1356990782 | Lucy Dimeglio | Technician | 17 Amberlands Court, Lakewood, NJ 08701 | 2019-09-09 |
| 1992262299 | Miriam Lichtschein | Speech-Language Pathologist | 1439 South Street, Lakewood, NJ 08701 | 2019-02-23 |
| 1407326531 | Achievements Early Intervention Services | Community/Behavioral Health | 85a Gladiola Ct, Lakewood, NJ 08701 | 2018-12-02 |
| 1871062224 | Ms Optical LLC | Eyewear Supplier (Equipment, not the service) | 12 America Ave, 1a, Lakewood, NJ 08701 | 2018-11-15 |
| Find all providers in zip 08701 | ||||
| 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 |
|---|---|---|---|---|
| 1699386706 | Westgate Family Dentistry | Dentist | 2323 S Wadsworth Blvd Ste 109, Lakewood, CO 80227-3254 | 2020-08-12 |
| 1467076034 | Cornelius Joseph Osullivan | Dentist | 13616 Madison Ave, Lakewood, OH 44107-4709 | 2020-05-30 |
| 1245870336 | My Local Colorado Dental Practice, LLC | Dentist | 264 Union Blvd Ste 200, Lakewood, CO 80228-1970 | 2020-01-07 |
| 1265082366 | Leong and Pandhoh Dental Corporation | Dentist | 2710 Carson St, Lakewood, CA 90712-4051 | 2019-09-19 |
| 1598319550 | Golnaz Sadat Samimifar | Dentist | 325 S Teller St Ste 280, Lakewood, CO 80226-7389 | 2019-07-29 |
| 1861044232 | Bryce Jeffrey Plancich | Dentist | 5726 100th St Sw, Lakewood, WA 98499-2730 | 2019-07-15 |
| 1578122628 | Marc Joseph Salme | Dentist | 386 E Fairmount Ave, Lakewood, NY 14750-2130 | 2019-06-12 |
| 1376023101 | Edward J Wang | Dentist | 5606 Lakewood Towne Center Blvd Sw Ste B, Lakewood, WA 98499-3894 | 2018-08-21 |
| 1740649839 | Justin Ford Becerra | Dentist | 2323 S Wadsworth Blvd Ste 1778, Lakewood, CO 80227-3274 | 2016-02-17 |
| 1740657378 | Timothy M. Schroeder Dds | Dentist | 6565 W Jewell Ave Ste 3, Lakewood, CO 80232-7102 | 2015-08-31 |
| Find all providers in LAKEWOOD | ||||
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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.