MARIELLE JOHNSON (NPI# 1487067708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487067708 |
| Entity Type | Individual |
| Full Name | MARIELLE JOHNSON |
| Credential | D.M.D |
| Practice Address |
1033 River Rd Edgewater NJ 07020-1351 |
| Practice Telephone | 2157601003 |
| Mailing Telephone | 2157601003 |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2019-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
059588-1 | NY | Dental Providers |
| Street Address |
1033 RIVER RD |
| City | EDGEWATER |
| State | NJ |
| Zip Code | 07020-1351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932350147 | The Kaplan Center for Plastic & Reconstructive Surgery PC | Surgery | 1033 River Rd, Unit 1, Edgewater, NJ 07020-1351 | 2008-10-07 |
| 1750551933 | Admiralty Dental Associates, P.a. | Clinic/Center | 1033 River Rd, Unit #4, Edgewater, NJ 07020-1351 | 2008-03-04 |
| 1871799080 | Gordon M Kaplan | Surgery | 1033 River Rd, Unit 1, Edgewater, NJ 07020-1351 | 2007-06-25 |
| 1730296674 | Richard S. Hughes IIi D.d.s.,p.a. | Dentist | 1033 River Rd, Edgewater, NJ 07020-1351 | 2006-08-24 |
| 1578670485 | Richard S. Hughes IIi | Dentist | 1033 River Rd, Edgewater, NJ 07020-1351 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851737167 | One Hudson Medical Associates | Non-Pharmacy Dispensing Site | 1829 Hudson Park, Edgewater, NJ 07020 | 2013-05-14 |
| 1003164666 | Daisy Flores | Speech-Language Pathologist | 116 Panorama Drive, Edgewater, NJ 07020 | 2012-08-29 |
| 1518188622 | Barbara Nan Altman | Social Worker | 309 Thornton Court, Edgewater, NJ 07020 | 2007-05-02 |
| 1124173950 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 70 The Promenade Ste C5a, Edgewater, NJ 07020 | 2007-01-24 |
| 1104983717 | Edgewater Pediatrics PC | Pediatrics | 115 River Road, Suite 1003 Building #10, Edgewater, NJ 07020 | 2007-01-02 |
| 1255402293 | Skyview Dental Center LLP | Dentist | 880 River Road, 2nd Floor, Edgewater, NJ 07020 | 2006-11-13 |
| 1043228588 | Irfan Admani | Internal Medicine | 103 River Road, Edgewater, NJ 07020 | 2006-08-03 |
| 1851316319 | Duane Reade | Durable Medical Equipment & Medical Supplies | 11 Edgewater Towne Ctr, Edgewater, NJ 07020 | 2006-07-13 |
| 1679502215 | 968 River Road Radiology | Clinic/Center | 968 River Road, Edgewater, NJ 07020 | 2006-07-03 |
| 1447219191 | Corinne Jeanette Gehegan | Podiatrist | 725 River Road, Suite 201-a, Edgewater, NJ 07020 | 2006-03-21 |
| Find all providers in zip 07020 | ||||
| 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 |
|---|---|---|---|---|
| 1003316324 | Exceptional Dentistry of Bergen | Dentist | 725 River Rd Ste 104, Edgewater, NJ 07020-1170 | 2018-02-13 |
| 1326498429 | Courtney Hoang | Dentist | 15 Lee Airpark Dr, Suite 100, Edgewater, MD 21037-1239 | 2016-06-20 |
| 1053784207 | Dale Kim | Dentist | 1921 Sheridan Blvd Unit F, Edgewater, CO 80214 | 2015-11-10 |
| 1346658192 | Jae Yong Lee | Dentist | 1111 River Road, G25, Edgewater, NJ 07020-1369 | 2014-07-24 |
| 1780962589 | Edgewater Modern Dentistry and Orthodontics, LLP | Dentist | 1921 Sheridan Blvd Ste F, Edgewater, CO 80214-1325 | 2011-07-27 |
| 1598043408 | Michael Somai | Dentist | 104 S Cory Dr, Edgewater, FL 32141-7222 | 2011-07-26 |
| 1245524800 | Darren Bennett Dds PC | Dentist | 2045 Sheridan Blvd, Suite H, Edgewater, CO 80214-1304 | 2011-06-01 |
| 1598930646 | Tuscawilla Dental LLC | Dentist | 2102 S Ridgewood Ave, Ste 6, Edgewater, FL 32141-4240 | 2008-04-29 |
| 1730370230 | Malvika Tickoo | Dentist | 880 River Rd Ste 2, Edgewater, NJ 07020-7231 | 2007-08-08 |
| 1477606721 | Puneeta Keer | Dentist | 55 Mayo Rd, Edgewater, MD 21037-1805 | 2007-01-19 |
| Find all providers in EDGEWATER | ||||
Please comment or provide details below to improve the information on MARIELLE JOHNSON.
| 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.