DR. BRIAN G DEPETRIS (NPI# 1467610519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467610519 |
| Entity Type | Individual |
| Full Name | DR. BRIAN G DEPETRIS |
| Credential | DMD |
| Practice Address |
1011 Clifton Ave Suite 2-a Clifton NJ 07013-3518 |
| Practice Telephone | 9733652620 |
| Practice Fax Number | 9733652621 |
| Mailing Telephone | 9733652620 |
| Mailing Fax Number | 9733652621 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22D101187300 | NJ | Dental Providers |
| Street Address |
1011 CLIFTON AVE SUITE 2-A |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07013-3518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093772030 | Steven David Gronowitz | Internal Medicine | 1011 Clifton Ave, Clifton, NJ 07013-3518 | 2006-04-26 |
| 1669079216 | Ivyrehab Network Inc | Physical Therapist | 1011 Clifton Ave, Clifton, NJ 07013-3518 | 2020-10-07 |
| 1477013316 | Ashley Vergel | Occupational Therapist | 1011 Clifton Ave, Clifton, NJ 07013-3518 | 2019-03-25 |
| 1871050948 | Brucato Foot and Ankle Surgery | Podiatrist | 1011 Clifton Ave, Clifton, NJ 07013-3518 | 2019-02-26 |
| 1871011643 | Claudia Okulicz | Physical Therapist | 1011 Clifton Ave, Clifton, NJ 07013-3518 | 2017-08-31 |
| 1730602046 | Dewang Chauhan | Physical Therapist | 1011 Clifton Ave, Clifton, NJ 07013-3518 | 2017-07-18 |
| 1003296963 | Eickhoff Chiropractic and Nutrition | Chiropractor | 1011 Clifton Ave, Clifton, NJ 07013-3518 | 2015-06-05 |
| 1235573007 | Pain Management and Rehab Center,llc | Pain Medicine | 1011 Clifton Ave, Ste 1g, Clifton, NJ 07013-3518 | 2013-04-24 |
| 1215279302 | Mamio Christa Mattern | Chiropractor | 1011 Clifton Ave, Clifton, NJ 07013-3518 | 2013-03-26 |
| 1225294499 | Andrew Scott Boxer | Internal Medicine | 1011 Clifton Ave, Clifton, NJ 07013-3518 | 2008-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028763 | Chedva Grossman | Behavioral Analyst | 1115 Clifton Avenue, Suite 202, Clifton, NJ 07013 | 2020-03-23 |
| 1518519578 | Marybel Hernandez | Social Worker | 730 Board St. Second Floor, Second Floor, Clifton, NJ 07013 | 2019-07-10 |
| 1427516152 | Maya Kron Wellness | Acupuncturist | 1425 Broad Street Suite 4, Clifton, NJ 07013 | 2019-03-12 |
| 1598251076 | Eileen Madden | Counselor | 1135 Clifton Avenue, Suite 103, Clifton, NJ 07013 | 2018-07-08 |
| 1215444591 | Wilber Espinosa | Nurse Practitioner | 1700 Nj-3, Clifton, NJ 07013 | 2018-01-08 |
| 1093222424 | Clifton Mri | Radiology | 750 Clifton Ave, Clifton, NJ 07013 | 2018-01-08 |
| 1912425745 | Partnerships for People, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Scales Plz Apt 115, Clifton, NJ 07013 | 2017-08-31 |
| 1255875183 | Elite Gynecology, LLC | Obstetrics & Gynecology | 1033 Us Highway 46e Suite 105, Clifton, NJ 07013 | 2016-12-12 |
| 1659815710 | Patrick Dispoto | Registered Nurse | 1005 Clifton Ave # 2, Clifton, NJ 07013 | 2016-12-08 |
| 1033568829 | Community Options Enterprises, Inc. | Day Training, Developmentally Disabled Services | 24-36 Fornelius Avenue, Clifton, NJ 07013 | 2016-06-13 |
| Find all providers in zip 07013 | ||||
| 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 |
|---|---|---|---|---|
| 1265913354 | Alena Ragheb Agha | Dentist | 1300 Main Ave Ste 1a, Clifton, NJ 07011-2266 | 2018-08-27 |
| 1942739420 | Jason Friedman | Dentist | 367 Rutherford Blvd, Clifton, NJ 07014 | 2017-06-08 |
| 1275080004 | Gina Bae | Dentist | 41 Ackerman Ave, Clifton, NJ 07011-1501 | 2016-09-09 |
| 1679904593 | Dr Dental of Clifton PC | Dentist | 83 Ackerman Ave, Clifton, NJ 07011-1501 | 2013-12-02 |
| 1265862742 | Neil Gelerter | Dentist | 234 Clifton Ave, Clifton, NJ 07011-1916 | 2013-11-19 |
| 1184069247 | First Impression Dental Pllc | Dentist | 6535 Rockland Dr, Clifton, VA 20124-2417 | 2013-05-02 |
| 1154688182 | Hdogan Dental LLC | Dentist | 225 Lakeview Ave., 1st Floor, Clifton, NJ 07011 | 2012-04-16 |
| 1013294719 | Sharona Kennedy | Dentist | 1037 Route 46 Ste C108, Clifton, NJ 07013-2445 | 2011-11-08 |
| 1922335512 | Aleksandra Veselinovic | Dentist | 2 Clifton Ave, Clifton, NJ 07011-1422 | 2009-11-03 |
| 1245564418 | Roman V Solyanyk | Dentist | 9 Harrison Pl Apt 4, Clifton, NJ 07011-1471 | 2009-09-21 |
| Find all providers in CLIFTON | ||||
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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.