DR. NEAL B NISSEN (NPI# 1376608976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376608976 |
| Entity Type | Individual |
| Full Name | DR. NEAL B NISSEN |
| Credential | D.D.S. |
| Practice Address |
2005 Avenue L Apt. 1f Brooklyn NY 11210-4550 |
| Practice Telephone | 7183380015 |
| Mailing Telephone | 7183380015 |
| Enumeration Date | 2006-12-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
033959-1 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00412579 | 05 |
| Street Address |
2005 AVENUE L APT. 1F |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11210-4550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379554 | Maureen Rene | Health Educator | 3601 Avenue J Apartment C6, Brooklyn, NY 11210 | 2020-09-06 |
| 1346859501 | Karece Lopez | Speech-Language Pathologist | 2665 Bedford Avenue, 2c, Brooklyn, NY 11210 | 2020-07-23 |
| 1164049078 | Christopher Rose Community Empowerment Campaign | Voluntary or Charitable | 1404 Brooklyn Ave, Brooklyn, NY 11210 | 2020-06-26 |
| 1487296455 | Venture Kids Inc | Day Training, Developmentally Disabled Services | 1731 Flatbush Ave, Brooklyn, NY 11210 | 2019-10-11 |
| 1689131773 | Florence Nkiruka Okafor | Case Manager/Care Coordinator | 858 E 29th St., Brooklyn Ny 11210, Brooklyn, NY 11210 | 2019-02-25 |
| 1508339854 | Sharon Senior-anderson | Behavioral Analyst | 858 E. 29th St., Brooklyn, NY 11210 | 2019-01-09 |
| 1952874208 | Luz Liriano | Behavioral Analyst | 858 E. 29th Street, Brooklyn, Ny 11210, Brooklyn, NY 11210 | 2019-01-09 |
| 1073086492 | Sharon L Bradley | Behavioral Analyst | 853 E 29th St, Brooklyn, NY 11210 | 2019-01-08 |
| 1922571348 | Anderson J Ali | Counselor | 859 E 29th St, Brooklyn, NY 11210 | 2019-01-08 |
| 1720553266 | Live Life Rehab Services LLC | Occupational Therapist | 3101 Ave I, Apt 1c, Brooklyn, NY 11210 | 2018-10-11 |
| Find all providers in zip 11210 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568950186 | Donna Chen | Dentist | 390 Berry St Ste B, Brooklyn, NY 11249-6086 | 2018-04-30 |
| 1801316419 | Kinderee Family Dentistry | Dentist | 2905 Fort Hamilton Pkwy, Brooklyn, NY 11218-1681 | 2017-06-24 |
| 1265989008 | Julia Dental Pediatrics | Dentist | 310 Brighton Beach Ave, Brooklyn, NY 11235-7450 | 2016-09-09 |
| 1386090504 | Melissa Levinsky | Dentist | 220 72nd St Apt A2, Brooklyn, NY 11209-2140 | 2016-05-05 |
| 1265896849 | Esther Yun | Dentist | 250 N 10th St Apt 332, Brooklyn, NY 11211-2822 | 2016-04-08 |
| 1770946931 | Yellow Bear Pediatric Dentistry, Pllc | Dentist | 331 Knickerbocker Ave, Suite 3b, Brooklyn, NY 11237-3601 | 2016-04-04 |
| 1568822732 | Pediatric Dental and Associates of Brooklyn PC | Dentist | 2464 Coney Island Ave, 2nd Floor, Brooklyn, NY 11223-5022 | 2016-03-02 |
| 1750757761 | Cai Huan Zhang | Dentist | 235 Adams St Apt 5k, Brooklyn, NY 11201-2876 | 2015-08-12 |
| 1073996625 | Park Slope Kids Dental Care | Dentist | 150 Fouth Ave, Brooklyn, NY 11217-3145 | 2015-07-01 |
| 1740661172 | Carter Le | Dentist | 834 Flatbush Ave, Brooklyn, NY 11226-3102 | 2015-06-11 |
| Find all providers in BROOKLYN | ||||
Please comment or provide details below to improve the information on DR. NEAL B NISSEN.
| 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.