DR. MICHAEL ETHAN SKOLNICK (NPI# 1427243476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427243476 |
Entity Type | Individual |
Full Name | DR. MICHAEL ETHAN SKOLNICK |
Credential | DMD |
Practice Address |
66 Somme St 2nd Floor Newark NJ 07105-3612 |
Mailing Address |
515 Springfield Ave Berkeley Heights NJ 07922-1180 |
Practice Telephone | 9735788788 |
Mailing Telephone | 9084646789 |
Enumeration Date | 2007-09-12 |
Last Update Date | 2014-09-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
052662-1 | NY | Dental Providers |
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
22DI02353600 | NJ | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144843616 | Michael Skolnick | Registered Nurse | West Grad Building, Institute of Living, 200 Retreat Ave, Hartford, CT 06102 | 2020-05-19 |
1205843851 | Michael A. Skolnick | Pediatrics | 130 Hospital Rd, Suite 207, Prince Frederick, MD 20678 | 2006-08-02 |
Street Address |
66 SOMME ST 2ND FLOOR |
City | NEWARK |
State | NJ |
Zip Code | 07105-3612 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164447587 | Loreta Montolo Uy | Pediatrics | 66 Somme St, Newark, NJ 07105-3612 | 2006-07-13 |
1205324555 | Janet Mark | Dentist | 66 Somme St, Newark, NJ 07105-3612 | 2018-04-23 |
1275054066 | Sara E Soumeeh | Dentist | 66 Somme St, Newark, NJ 07105-3612 | 2017-06-30 |
1013468040 | Infinite Endodontics 2 | Dentist | 66 Somme St, Newark, NJ 07105-3612 | 2016-10-14 |
1649651233 | Niveditha Sarof | Dentist | 66 Somme St, Newark, NJ 07105-3612 | 2015-06-09 |
1154681922 | Anahita Medical Group | Specialist | 66 Somme St, Newark, NJ 07105-3612 | 2012-05-25 |
1568618304 | Childsmiles, Pa | Dentist | 66 Somme St, 2nd Floor, Newark, NJ 07105 | 2008-08-12 |
1285895789 | Otto Myungho Choi | Dentist | 66 Somme St, Newark, NJ 07105-3612 | 2008-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053802819 | Ferry Pharmacy | Pharmacy | 165 Ferry St, Newark, NJ 07105 | 2018-05-28 |
1467969287 | Gabriela Cristina Celeiro | Social Worker | 243 East Kinney Street, Newark, NJ 07105 | 2018-01-02 |
1194238899 | Astra Health Center of Newark LLC | Internal Medicine | 41 Wilson Ave., Newark Nj, NJ 07105 | 2017-11-16 |
1760909501 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 140 42 Ferry St, Newark, NJ 07105 | 2017-08-23 |
1487185286 | Mercy Drive Regional Corporation | Day Training, Developmentally Disabled Services | 498-500 Ferry Street 1st Floor, Newark, NJ 07105 | 2017-03-23 |
1891236329 | Mercy Drive Regional Corporation | Home Health | 498 Ferry Street, Newark, NJ 07105 | 2017-03-16 |
1073968640 | Neha Rajkotia | Physical Therapist | 360 Avenue P, Preferred Freezer Bldg, 3rd Floor Immedicare, Newark, NJ 07105 | 2016-05-02 |
1184099251 | Child Smiles Spec LLC | Dentist | 67-73 Fillmore Street, Newark, NJ 07105 | 2015-12-01 |
1982099602 | Fermin Alejandro Padron | Pharmacist | 140-42 Ferry Street, Newark, NJ 07105 | 2015-03-31 |
1598162968 | Peak Chiropractic & Wellness LLC | Chiropractor | 411 419 Chestnut St, 1a, Newark, NJ 07105 | 2014-12-01 |
Find all providers in zip 07105 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679139448 | Delaware Braces, LLC | Dentist | 2444 Pulaski Hwy Ste 200, Newark, DE 19702-3906 | 2019-05-16 |
1568941375 | Orange Street Spec LLC | Dentist | 509a Orange Street Suite A, Newark, NJ 07107 | 2018-08-13 |
1144606310 | Rayanne Lee | Dentist | 110 Bergen Street, Rutgers School of Dental Medicine, Department of Orthodontics - Room C781, Newark, NJ 07103 | 2015-08-10 |
1508099938 | Andrew C Wong | Dentist | 3900 Newpark Mall Road, Suite 204, Newark, CA 94560-5241 | 2009-09-02 |
1366576373 | Thomas Wilson Beattie | Dentist | 589 Moull St, Newark, OH 43055-2909 | 2007-03-14 |
1932250735 | William D. Plikerd | Dentist | 974 N 21st St, Suite 1a, Newark, OH 43055-2990 | 2007-01-16 |
1205991668 | David S Briss | Dentist | 110 Bergen St Rm D884, Newark, NJ 07103-2495 | 2006-12-26 |
1366413528 | Brian E Crock | Dentist | 175 Mcmillen Dr, Newark, OH 43055-1810 | 2006-01-27 |
1841275609 | Robert E. Binder | Dentist | 110 Bergen Street, New Jersey Dental School, Department of Orthodontics, Newark, NJ 07101-1709 | 2005-12-14 |
1871064709 | Ezra Jared Brown | Dentist | 509 Orange St, Newark, NJ 07107-2128 | 2018-12-17 |
Find all providers in NEWARK |
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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.