STACEY LYNN POMALES (NPI# 1295034353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295034353 |
| Entity Type | Individual |
| Full Name | STACEY LYNN POMALES |
| Other Name | STACEY LYNN KRISTOVICH |
| Credential | CDA, RDA |
| Practice Address |
1103 W Sherman Ave Vineland NJ 08360-6915 |
| Practice Telephone | 8566929333 |
| Practice Fax Number | 8566925565 |
| Mailing Telephone | 8566929333 |
| Mailing Fax Number | 8566925565 |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| Street Address |
1103 W SHERMAN AVE |
| City | VINELAND |
| State | NJ |
| Zip Code | 08360-6915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568556512 | Riyadh S Hammod | Internal Medicine | 1103 W Sherman Ave, Bldg 2 Unit A, Vineland, NJ 08360-6915 | 2006-10-03 |
| 1447744297 | Michael David Roberson | Dentist | 1103 W Sherman Ave, Vineland, NJ 08360-6912 | 2018-06-15 |
| 1689082984 | Rashmi Srivastava | Dentist | 1103 W Sherman Ave, Vineland, NJ 08360-6915 | 2014-07-30 |
| 1760772156 | Gina Bennett | Dental Assistant | 1103 W Sherman Ave, Vineland, NJ 08360-6915 | 2011-04-19 |
| 1659686715 | Yashodhara Kumar | Dentist | 1103 W Sherman Ave, Vineland, NJ 08360-6915 | 2010-08-13 |
| 1437462314 | Madhuri Battula | Dentist | 1103 W Sherman Ave, Vineland, NJ 08360-6915 | 2010-07-20 |
| 1619127065 | Deepika Mahasmudram Reddy | Dentist | 1103 W Sherman Ave, Vineland, NJ 08360-6915 | 2008-09-23 |
| 1619126984 | South Jersey Gastroenterology Consultants Pa | Specialist | 1103 W Sherman Ave, Bldg 2 Unit A, Vineland, NJ 08360-6915 | 2008-09-11 |
| 1366690034 | Vidya Kini Kukkundur | Dentist | 1103 W Sherman Ave, Vineland, NJ 08360-6915 | 2008-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534748 | Lindsay Gibbons | Social Worker | 60 W Ave, Vineland, NJ 08360 | 2020-10-07 |
| 1033769849 | Buena Vista Township Emergency Medical Services Inc. | Ambulance | 4931 E. Landis Ave., Vineland, NJ 08360 | 2019-09-13 |
| 1669037636 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | Elwyn New Jersey Supported Employment Small Group, 228 W. Landis Avenue, Suite 302, Vineland, NJ 08360 | 2019-05-06 |
| 1972001519 | Kyle James Knowles | Physician Assistant | 1138 East Chestnut Avenue, Building 8 Suite B, Vineland, NJ 08360 | 2018-01-29 |
| 1205346574 | Maryville, Inc | Clinic/Center | 1173 E Landis Ave, Vineland, NJ 08360 | 2017-10-02 |
| 1184147043 | Sarah Lee | Pharmacist | 75 W Landis Ave, Vineland, NJ 08360 | 2017-07-24 |
| 1780111419 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30 D'shibe Terrace, Vineland, NJ 08360 | 2017-05-12 |
| 1528414810 | Khushbu V Janani | Internal Medicine | 1505 W Sherman Avenue, Inspira Health Network, Vineland, NJ 08360 | 2016-05-05 |
| 1669841409 | University Womens Imaging LLC | Clinic/Center | 1051 West Sherman Avenue, Suite 4a, Vineland, NJ 08360 | 2015-09-23 |
| 1710369350 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 46 N West Ave, Building A, Vineland, NJ 08360 | 2015-06-19 |
| Find all providers in zip 08360 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760772156 | Gina Bennett | Dental Assistant | 1103 W Sherman Ave, Vineland, NJ 08360-6915 | 2011-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245539006 | Clarissa Soto | Dental Assistant | 1001 Laurel Oak Rd Ste C2, Voorhees, NJ 08043-3512 | 2011-03-19 |
| 1780857995 | Chhaya Bhadresh Shah | Dental Assistant | 872 Saint George Ave, 4b, Woodbridge, NJ 07095-2558 | 2008-04-08 |
| 1093358301 | Sarah Theresa Faleris | Dental Assistant | 15 Dogwood Dr, Cape May Court House, NJ 08210-1613 | 2019-10-21 |
| 1578998134 | Kristin Mazzi | Dental Assistant | 686 Stokes Rd, Medford, NJ 08055-2909 | 2013-09-13 |
| 1154612182 | Bonnie Lee Mccleary | Dental Assistant | 1 Britton Pl, Voorhees, NJ 08043-2514 | 2011-04-25 |
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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.