DR. JAE MARIE GRYMES (NPI# 1528409448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528409448 |
| Entity Type | Individual |
| Full Name | DR. JAE MARIE GRYMES |
| Credential | DDS |
| Practice Address |
1290 Peoples Plz Newark DE 19702-5701 |
| Practice Telephone | 3022730247 |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2020-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
G1-0001460 | DE | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
16241 | MD | Dental Providers |
| Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
G1-0001460 | DE | Dental Providers |
| N | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
16241 | MD | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 148b Rockland Hl, Stony Brook, NY 117948711 | 6314442557 | |
| 7556 Teague Rd Ste 110, Hanover, MD 210761969 | 4107990780 |
| Street Address |
1290 PEOPLES PLZ |
| City | NEWARK |
| State | DE |
| Zip Code | 19702-5701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992809685 | Neil S. Woloshin | Dentist | 1290 Peoples Plz, Newark, DE 19702-5701 | 2006-09-12 |
| 1528226743 | Courtney Gale Herring | Dentist | 1290 Peoples Plz, Newark, DE 19702-5701 | 2008-05-23 |
| 1982736716 | Douglas Jason Decouto | Dentist | 1290 Peoples Plz, Newark, DE 19702-5701 | 2007-03-09 |
| 1730262890 | Kathy Zinas Kirifides | Dentist | 1290 Peoples Plz, Newark, DE 19702-5701 | 2006-10-23 |
| 1508951773 | Bear-glasgow Dental, LLC | Dentist | 1290 Peoples Plz, Newark, DE 19702-5701 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407467814 | Leilanie Redondiez | Physical Therapist | 110 Blue Ridge Circle, Newark, DE 19702 | 2020-08-11 |
| 1285118679 | A Center for Mental Wellness Community Support Programs, LLC | Substance Abuse Rehabilitation Facility | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-09-20 |
| 1124510854 | Shena Williams | Counselor | 1423 Capital Trail Rd, Newark, DE 19702 | 2018-05-30 |
| 1437664737 | Excellence Home Care LLC | Home Health | 122 Delaware Street, New Castle, DE 19702 | 2017-12-08 |
| 1710496773 | Kirt Leigh Randolph | Physical Therapy Assistant | 229 Barrett Run Place, Newark, DE 19702 | 2017-09-21 |
| 1871014399 | Edeline Elicin | Marriage & Family Therapist | 260 Chapman Road, Suite 100-b, Newark, DE 19702 | 2017-07-06 |
| 1831646454 | Rickia Izetta Spivey-kennedy | Counselor | 36 Avignon Drive, Newark, DE 19702 | 2016-09-01 |
| 1134585748 | Thomas Wolters | Pharmacist | 248 Chaoman Road, Newark, DE 19702 | 2016-01-12 |
| 1851700686 | Candice Roberts | Nurse Practitioner | 100 Biddle Ave Ste 101, Newark, DE 19702 | 2014-08-06 |
| 1316367428 | Evyline Chioma | Occupational Therapist | 25 Buttonwood Ct., Newark, DELAWARE 19702 | 2014-04-16 |
| Find all providers in zip 19702 | ||||
| Taxonomy Code | 1223D0004X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dentist Anesthesiologist |
| A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. |
| Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821656471 | Sleepy Tooth Sedation, L.L.C. | Dentist | 2304 Concord Pike, Wilmington, DE 19803-2912 | 2019-05-30 |
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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.