DR. KONSTANTIN MALTSEN (NPI# 1659588283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659588283 |
| Entity Type | Individual |
| Full Name | DR. KONSTANTIN MALTSEN |
| Credential | D.D.S |
| Practice Address |
189 Franklin Ave Nutley NJ 07110-3823 |
| Practice Telephone | 9736611020 |
| Practice Fax Number | 9736611012 |
| Mailing Telephone | 9736611020 |
| Mailing Fax Number | 9736611012 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DI22757 | NJ | Dental Providers |
| Street Address |
189 FRANKLIN AVE |
| City | NUTLEY |
| State | NJ |
| Zip Code | 07110-3823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932256682 | Kathleen K Mairella | Physical Therapist | 189 Franklin Ave, Nutley, NJ 07110-3823 | 2007-01-04 |
| 1770735185 | Angelo Delvecchio | Chiropractor | 189 Franklin Ave, Suite 3, Nutley, NJ 07110-3823 | 2008-10-16 |
| 1518163302 | David Chow | Dentist | 189 Franklin Ave, Nutley, NJ 07110-3823 | 2007-06-27 |
| 1164569513 | Thomas J Modica | Physical Therapist | 189 Franklin Ave, Suite 2, Nutley, NJ 07110-3823 | 2007-02-01 |
| 1811034382 | Brookdale Physical Therapy, P. A. | Physical Therapist | 189 Franklin Ave, Suite 2, Nutley, NJ 07110-3823 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497304984 | Nutley Vision LLC | Optometrist | 214 N Franklin Avenue, Nutley, NJ 07110 | 2019-09-06 |
| 1548762073 | Michal Milow Divney | Social Worker | 340 Kingsland St Bldg 123, Nutley, NJ 07110 | 2018-02-28 |
| 1144743162 | Erin Doyle Theodorou | Counselor | 29 Faber Pl, Nutley, NJ 07110 | 2017-07-21 |
| 1134642671 | Everas Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 150 Kingsland St, Nutley, NJ 07110 | 2017-07-17 |
| 1851811764 | Janet Joke Bamgbade | Social Worker | 21 River Road, Apt. J, Nutley, NJ 07110 | 2017-06-21 |
| 1588190656 | Nutley Vision | Eyewear Supplier (Equipment, not the service) | 214 Franklin Ave., Nutley, NJ 07110 | 2017-05-10 |
| 1043662596 | Angela Furnari-romano | Social Worker | 596 Franklin Ave, Nutley, NJ 07110 | 2016-07-08 |
| 1659720381 | Nutley Adult Day Care Inc | Clinic/Center | 357-361 Harrison St, 1st Floor, Nutley, NJ 07110 | 2016-06-03 |
| 1881055937 | Roman Rubin | Community/Behavioral Health | 263 Hillside Address, 5, Nutley, NJ 07110 | 2016-03-17 |
| 1275937922 | Victoria L Beckerman | Social Worker | 405 Centre St, Nutley, NJ 07110 | 2014-10-09 |
| Find all providers in zip 07110 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518163302 | David Chow | Dentist | 189 Franklin Ave, Nutley, NJ 07110-3823 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225676018 | Encore Dental of Toms River | Dentist | 1220 Hooper Avenue, Toms River, NJ 08753 | 2019-12-12 |
| 1184276990 | Abc Family Smiles LLC | Dentist | 252 Madison Ave Ste 106, Perth Amboy, NJ 08861-4314 | 2019-07-11 |
| 1235638347 | Essex Endodontics PC | Dentist | 460 Bloomfield Ave Ste 311, Montclair, NJ 07042-3552 | 2018-02-04 |
| 1770097446 | Arthur Royzner | Dentist | 1 Lincoln Hwy Ste 6, Edison, NJ 08820 | 2017-11-16 |
| 1366964017 | Sussex County Endodontics, PC | Dentist | 63 Newton Sparta Rd Ste 201, Newton, NJ 07860-2815 | 2017-07-14 |
| 1477916724 | Shayna Nicole Whiteman | Dentist | 141 Us Highway 46 Lowr Level, Rockaway, NJ 07866-4018 | 2016-04-04 |
| 1184099251 | Child Smiles Spec LLC | Dentist | 67-73 Fillmore Street, Newark, NJ 07105 | 2015-12-01 |
| 1366870198 | Sudharani Bodepudi | Dentist | 354 Lunar Rd, Piscataway, NJ 08854-5469 | 2013-10-14 |
| 1558700195 | Batastini Orthodontics, PC | Dentist | 69 Haddonfield - Berlin Road, Cherry Hill, NJ 08034 | 2013-06-17 |
| 1659612158 | Atlantic Endodontics LLC | Dentist | 235 E. Jimmie Leeds Road, Galloway, NJ 08205 | 2013-03-07 |
| 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.