CHESTNUT PLAZA DENTAL CENTER PA (NPI# 1447402359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447402359 |
| Entity Type | Organization |
| Organization Name | CHESTNUT PLAZA DENTAL CENTER PA |
| Practice Address |
831 Main Ave Passaic NJ 07055-8400 |
| Practice Telephone | 9734055000 |
| Mailing Telephone | 9734055000 |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |
| Authorized Official Name | DR. DAVID M MAYER (PRESIDENT) |
| Authorized Official Telephone | 9734055000 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
22DI01365303 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0175536 | 05 |
| Street Address |
831 MAIN AVE |
| City | PASSAIC |
| State | NJ |
| Zip Code | 07055-8400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811003486 | Ajit Jayaram Medical PC | Internal Medicine | 831 Main Ave, Ste 5, Passaic, NJ 07055-8400 | 2006-08-23 |
| 1477161172 | Tierra Medical LLC | Pain Medicine | 831 Main Ave, Passaic, NJ 07055-8400 | 2020-07-19 |
| 1144527086 | Doors Into The Future, Inc. | Clinic/Center | 831 Main Ave, Passaic, NJ 07055-8400 | 2011-02-11 |
| 1215190905 | Liberty Medical Minority LLC | Non-emergency Medical Transport (VAN) | 831 Main Ave, Passaic, NJ 07055-8400 | 2008-07-03 |
| 1558429019 | Garden State Open Mri Diagnostic Center Inc | Clinic/Center | 831 Main Ave, Passaic, NJ 07055-8400 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598300410 | Nilsy Munoz | Counselor | Revelation University Wellness Unit, 307 Monroe St #4, Passaic, NJ 07055 | 2019-11-14 |
| 1093206880 | Capitol Chiropractic and Rehabilitation | Clinic/Center | 15 Howe Ave., 2nd Floor, Passaic, NJ 07055 | 2018-05-29 |
| 1336665827 | 110 Van Houten LLC | Pharmacy | 110 Van Houten Ave, Passaic, NJ 07055 | 2017-08-17 |
| 1528584380 | Lpcnj, LLC | Community/Behavioral Health | 129 Prospect Street, 2nd Floor, Passaic, NJ 07055 | 2017-08-14 |
| 1255851572 | Chana Risa Twersky | Specialist | 164 Ascension St, Passaic, NJ 07055 | 2017-06-27 |
| 1144750241 | Chana Gittel Lemberger | Behavioral Analyst | 277 Pennington Ave, Passaic, NJ 07055 | 2017-06-13 |
| 1205377025 | Glendolin Grant | Massage Therapist | 105 Van Buren St, Passaic, NJ 07055 | 2017-03-13 |
| 1760924310 | Hadassah Selengut | Speech-Language Pathologist | 254 Pennington Ave, Passaic, NJ 07055 | 2016-11-14 |
| 1992180376 | Massiel Parra | Dentist | 625 Main Avenue, Passaic, NJ 07055 | 2015-07-27 |
| 1306240270 | Passaic Pediatrics II Pa | Specialist | 93 Market Street, Passaic, NJ 07055 | 2014-10-21 |
| Find all providers in zip 07055 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831436328 | Latha Voladri D.d.s,l.lc | Clinic/Center | 641 Main Ave, Passaic, NJ 07055-4919 | 2013-01-03 |
| 1780990820 | Children's Dentistry of Passaic LLC | Clinic/Center | 124 Gregory Ave, Suite 303, Passaic, NJ 07055-4856 | 2010-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254652 | Oakland Premier Dental | Clinic/Center | 410 Ramapo Valley Rd Ste 101, Oakland, NJ 07436-2716 | 2020-10-27 |
| 1689271116 | C&s Deantal Enterprises | Clinic/Center | 388 Pompton Ave Ste 5, Cedar Grove, NJ 07009-1814 | 2020-10-07 |
| 1609473347 | Mast Dental LLC | Clinic/Center | 120 Highway 33, Manalapan, NJ 07726-8477 | 2020-10-06 |
| 1962009878 | Precision Dentistry LLC | Clinic/Center | 215 Old Tappan Rd Ste 2, Old Tappan, NJ 07675-7000 | 2020-10-04 |
| 1447857685 | Dental Health Center of Monmouth Beach | Clinic/Center | 27 Beach Rd Ste 1, Monmouth Beach, NJ 07750-1387 | 2020-10-01 |
| 1033722137 | Urban Smiles Dental P.a | Clinic/Center | 776 E 3rd Ave Ste Ll2, Roselle, NJ 07203-1698 | 2020-08-28 |
| 1417573353 | Sparq Family Dental LLC | Clinic/Center | 121 Highway 36 Ste 100, West Long Branch, NJ 07764-1459 | 2020-06-16 |
| 1437774023 | Englewood Dental Arts LLC | Clinic/Center | 106 Grand Ave Ste 390, Englewood, NJ 07631-3570 | 2020-06-10 |
| 1134740707 | Paulanto Dental Clinic Corp | Clinic/Center | 189-195 Ave E, Bayonne, NJ 07002 | 2020-05-05 |
| 1356962914 | Mern Enterprises | Clinic/Center | 2022 Route 71 Ste 204, Spring Lake, NJ 07762-2291 | 2020-05-05 |
| Find all providers with the same taxonomy | ||||
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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.