DENTAL CARE OF RIDGEWOOD, P.C. (NPI# 1578701835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578701835 |
| Entity Type | Organization |
| Organization Name | DENTAL CARE OF RIDGEWOOD, P.C. |
| Practice Address |
5647 Myrtle Ave Ridgewood NY 11385-4744 |
| Practice Telephone | 7184176300 |
| Practice Fax Number | 7184173535 |
| Mailing Telephone | 7184176300 |
| Mailing Fax Number | 7184173535 |
| Enumeration Date | 2009-01-25 |
| Last Update Date | 2009-01-25 |
| Authorized Official Name | DR. MARIYA MAMKIN (RESPONSIBLE PARTY) |
| Authorized Official Telephone | 7184176300 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
054039 | NY | Ambulatory Health Care Facilities |
| Street Address |
5647 MYRTLE AVE |
| City | RIDGEWOOD |
| State | NY |
| Zip Code | 11385-4744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801944988 | Eric A Poznyansky | Dentist | 5647 Myrtle Ave, Dental Center, Ridgewood, NY 11385-4744 | 2007-01-08 |
| 1568895886 | Diana P Campos | Dentist | 5647 Myrtle Ave, Ridgewood, NY 11385-4744 | 2013-08-11 |
| 1497911861 | Mariya Mamkin | Dentist | 5647 Myrtle Ave, Ridgewood, NY 11385-4744 | 2008-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650425 | Nicole Jablonska | Speech-Language Pathologist | 60-24 Grove Street, Ridgewood, NY 11385 | 2020-08-19 |
| 1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
| 1164929584 | Carmen E. Vidal | Case Manager/Care Coordinator | 61-06 Metropolitan Ave., Ridgewood, NY 11385 | 2018-04-11 |
| 1467955385 | Avchemists LLC | Pharmacy | 68-28 Myrtle Ave, Glendale, NY 11385 | 2018-03-16 |
| 1235639667 | Yu-jen Hwang | Physical Therapist | 55-05 Myrtle Avenue, 2nd Floor, Ridgewood, NY 11385 | 2018-02-12 |
| 1477069185 | Selena Delgado | Behavior Technician | 64-07 Cooper Avenue, Glendale, NY 11385 | 2017-12-18 |
| 1851806913 | Myrtle Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 7933 Myrtle Ave, Flushing, NY 11385 | 2017-12-11 |
| 1104345727 | Suzanne Eng | Counselor | 1080 Wykoff Ave., Suite D4, Ridgewood, NY 11385 | 2017-09-14 |
| 1588183339 | Geri P Services Inc. | Early Intervention Provider Agency | 5938 Gates Ave, Ridgewood, NY 11385 | 2017-09-13 |
| 1922523935 | Kristen Michele Spang | Speech-Language Pathologist | 79-56 77th Road, Glendale, NY 11385 | 2017-08-10 |
| Find all providers in zip 11385 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467572073 | Nihon Shika Group Ridgewood | Clinic/Center | 172 Franklin Ave Ste 2b, Ridgewood, NJ 07450-3229 | 2007-03-29 |
| 1861463366 | Wyckoff Dental PC | Clinic/Center | 321 Wyckoff Avenue, Ridgewood, NY 11385 | 2006-02-01 |
| 1538320429 | Dental Art Studio | Clinic/Center | 45 N Broad St, Ridgewood, NJ 07450-3856 | 2008-06-23 |
| 1285813907 | Elena Gerlikhman | Clinic/Center | 45 N Broad St, Ridgewood, NJ 07450-3856 | 2007-10-30 |
| 1962553446 | Forest Dental Care | Clinic/Center | 6913 Forest Ave, Ridgewood, NY 11385-4457 | 2007-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380246 | Charles R Hoeg Dmd PC | Clinic/Center | 45 Route 25a Ste A1, Shoreham, NY 11786-1389 | 2020-09-10 |
| 1801409016 | Daniel Babadzhanov Dmd Pllc | Clinic/Center | 7025 Yellowstone Blvd Ste 1o, Forest Hills, NY 11375-3165 | 2020-08-26 |
| 1417567611 | Hudson River Dental | Clinic/Center | 1 Baltic Pl Ste 104, Croton On Hudson, NY 10520-1642 | 2020-08-03 |
| 1316556897 | Bridget E. Sweeney, Dds, Pllc | Clinic/Center | 6043 Transit Road, Suite 102, Clarence, NY 14031 | 2020-07-30 |
| 1679182919 | Avalon Dental, PC | Clinic/Center | 20103 Northern Blvd Fl 1, Flushing, NY 11361-2563 | 2020-07-22 |
| 1104442706 | Igor Dekhkanov Dds PC | Clinic/Center | 438 Graham Ave Fl 1, Brooklyn, NY 11211-1415 | 2020-06-19 |
| 1245852334 | Walter G Neuhaus Dds PC | Clinic/Center | 2825 Niagara Falls Blvd Ste 170, Amherst, NY 14228-2000 | 2020-05-12 |
| 1487274445 | Rock A Smile Dental Studio Pllc | Clinic/Center | 9708 Rockaway Blvd, Ozone Park, NY 11417-1615 | 2020-04-20 |
| 1033738414 | Samina Haque Dmd Pllc | Clinic/Center | 25012 Hillside Ave Ste A, Bellerose, NY 11426-2139 | 2020-04-15 |
| 1366077844 | New York Dental Care, Pllc | Clinic/Center | 124 E 40th St Rm 302, New York, NY 10016-1723 | 2020-03-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DENTAL CARE OF RIDGEWOOD, P.C..
| 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.