DR. DOUGLAS A PETERSON (NPI# 1609083856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609083856 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS A PETERSON |
| Credential | DDS |
| Practice Address |
9 Middletown Lincroft Rd Lincroft NJ 07738-1511 |
| Practice Telephone | 7328425005 |
| Practice Fax Number | 7328428608 |
| Mailing Telephone | 7328425005 |
| Mailing Fax Number | 7328428608 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22D102109600 | NJ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972071777 | Douglas Peterson | Acupuncturist | 333 E 46th St Apt 1j, New York, NY 10017-7426 | 2018-11-09 |
| 1952520710 | Douglas Don Peterson | Dentist | 2411 10th Ave N, Lake Worth, FL 33461-3128 | 2007-04-24 |
| 1770688756 | Douglas Bruce Peterson | Dentist | 8470 Us Hwy 2, Iron River, WI 54847-0400 | 2006-09-14 |
| 1437267440 | Douglas B Peterson | Internal Medicine | 1512 W 4th St, Marshfield, WI 54449-2509 | 2006-08-29 |
| 1710962832 | Douglas Peterson | Emergency Medicine | 1630 Anderson Ave, Buffalo, MN 55313-2945 | 2005-12-13 |
| 1982688388 | Douglas George Peterson | Chiropractor | 3030 Sw Moody Ave, Ste 102, Portland, OR 97201-4867 | 2005-11-30 |
| 1932399938 | Douglas Allen Peterson | Clinical Neuropsychologist | 16935 W Bernardo Dr, 238, San Diego, CA 92127-1634 | 2007-07-26 |
| 1174739288 | Douglas Charles Peterson | Pediatrics | 9260 Laguna Springs Dr, Suite E2-308, Elk Grove, CA 95758-7947 | 2007-05-15 |
| 1023142585 | Douglas Jed Peterson | Chiropractor | 650 N State St, Suite #1, Shelley, ID 83274-5167 | 2007-03-15 |
| 1659408649 | Douglas G Peterson | Chiropractor | 1765 Taft Ave, Oshkosh, WI 54902-3220 | 2007-02-27 |
| Street Address |
9 MIDDLETOWN LINCROFT RD |
| City | LINCROFT |
| State | NJ |
| Zip Code | 07738-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316091937 | Richard J Mercurio | Dentist | 9 Middletown Lincroft Rd, Lincroft, NJ 07738-1511 | 2007-01-22 |
| 1265722490 | Sunshine Dental, Inc. | Clinic/Center | 9 Middletown Lincroft Rd, Lincroft, NJ 07738-1511 | 2011-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477082923 | Veronica Zega | Specialist/Technologist | 35 Branson Drive, Lincroft, NJ 07738 | 2017-06-08 |
| 1821542481 | Township of Middletown | Community/Behavioral Health | 730 Newman Springs Road, Lincroft, NJ 07738 | 2016-08-11 |
| 1356506703 | Frank V. Porco | Emergency Medicine | 3 Deer Ln., Lincroft, NJ 07738 | 2008-07-25 |
| 1750435772 | Lauri A Taylor | Chiropractor | 555 Newman Springs Rd, Lincroft, NJ 07738 | 2007-01-23 |
| 1114070398 | Kenneth Lewandowski | Internal Medicine | 521 Newman Springs Road, Suite 21, Lincroft, NJ 07738 | 2007-01-19 |
| 1699827501 | Mary Ellen Stanisci | Psychologist | 654 Newman Springs Road, Lincroft, NJ 07738 | 2007-01-18 |
| 1336209824 | De La Salle Hall Inc | Skilled Nursing Facility | 810 Newman Springs Rd, Lincroft, NJ 07738 | 2006-12-12 |
| 1952470890 | Steven John Ryan | Physical Therapist | 706 Newman Springs Rd, Lincroft, NJ 07738 | 2006-11-07 |
| 1093761082 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 616 Newman Springs Rd, Lincroft, NJ 07738 | 2006-05-25 |
| 1790159283 | Thomas Pediatrics LLC | Pediatrics | 654 Newman Springs Road, Suite E, Lincroft, NJ 07738 | 2015-11-20 |
| Find all providers in zip 07738 | ||||
| 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 |
|---|---|---|---|---|
| 1366584450 | Mitchel Lee Friedman | Dentist | 539 Newman Springs Rd, Lincroft, NJ 07738-1425 | 2007-02-13 |
| 1316091937 | Richard J Mercurio | Dentist | 9 Middletown Lincroft Rd, Lincroft, NJ 07738-1511 | 2007-01-22 |
| 1922365097 | Julia D Cintron | Dentist | 539 Newman Springs Rd, Lincroft, NJ 07738-1425 | 2012-04-13 |
| 1457330235 | Howard S. Tarabour | Dentist | 4 Swimming River Rd, Lincroft, NJ 07738-1727 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861750 | Columbia Dental of Elizabeth Pa | Dentist | 151 Jefferson Avenue, Elizabeth, NJ 07201 | 2020-11-04 |
| 1790385490 | Progressive Dental Group | Dentist | 246 N Franklin Tpke Ste 4, Ramsey, NJ 07446-1635 | 2020-10-30 |
| 1205436029 | Nimitha Kumar | Dentist | 1216 John F Kennedy Blvd W, 2nd Floor, Bayonne, NJ 07002 | 2020-10-30 |
| 1811596307 | Kinjal J Mehta | Dentist | 151 Jefferson Ave, Elizabeth, NJ 07201-2490 | 2020-10-26 |
| 1093314668 | Chandan Venkatesh | Dentist | 193 Westgate Dr, Edison, NJ 08820-1164 | 2020-10-23 |
| 1326645664 | Amed Bientz Mendez | Dentist | 700 N Broad St Ste 101, Elizabeth, NJ 07208-2310 | 2020-10-08 |
| 1407463086 | Mina Youssef | Dentist | 821 Bergen Ave Apt B2, Jersey City, NJ 07306-4522 | 2020-09-28 |
| 1912518820 | Tyler Yim | Dentist | 44 Fairfield Dr, Short Hills, NJ 07078-1703 | 2020-08-13 |
| 1902416639 | Anna Lee | Dentist | 666 Plainsboro Rd Ste 408, Plainsboro, NJ 08536-3009 | 2020-08-06 |
| 1164032413 | Qurratulann Talat Khokhar | Dentist | 53 W 56th St, Bayonne, NJ 07002-4113 | 2020-08-02 |
| 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.