DR. BARRY DAVID WAGENBERG (NPI# 1699849240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699849240 |
| Entity Type | Individual |
| Full Name | DR. BARRY DAVID WAGENBERG |
| Credential | DMD |
| Practice Address |
160 S Livingston Ave Suite 110-111 Livingston NJ 07039-3033 |
| Practice Telephone | 9739949995 |
| Practice Fax Number | 9739941991 |
| Mailing Telephone | 9739949995 |
| Mailing Fax Number | 9739941991 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DI10755 | NJ | Dental Providers |
| Street Address |
160 S LIVINGSTON AVE SUITE 110-111 |
| City | LIVINGSTON |
| State | NJ |
| Zip Code | 07039-3033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720194574 | Alfredo Joaquin Lowe | Psychologist | 160 S Livingston Ave, Suite 113, Livingston, NJ 07039-3033 | 2006-08-22 |
| 1750558425 | Psychotherapeutic Solutions, LLC | Psychologist | 160 S Livingston Ave, 113, Livingston, NJ 07039-3033 | 2008-05-13 |
| 1417172305 | Nancy Phyllis Rothchild | Social Worker | 160 S Livingston Ave, Suite 113, Livingston, NJ 07039-3033 | 2007-04-16 |
| 1871622035 | Gladys I Hirschorn | Psychologist | 160 S Livingston Ave, Suite 113, Livingston, NJ 07039-3071 | 2007-03-05 |
| 1376617902 | Periodontics and Implant Dentistry, Pa | Dentist | 160 S Livingston Ave, Suite110-111, Livingston, NJ 07039-3033 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184111 | Dentistry With A Smile, Inc. | Durable Medical Equipment & Medical Supplies | 1100 Town Center Way, 14-a-ii, Livingston, NJ 07039 | 2020-11-03 |
| 1326692104 | Amy Beth Lipsey | Social Worker | Amy Lipsey, 301 South Livingston Avenue, Livingston, NJ 07039 | 2019-07-30 |
| 1427543412 | Bodypro Physical Therapy, LLC | Physical Therapist | 5 Country Club Ct, Livingston, NJ 07039 | 2018-06-22 |
| 1538665245 | Kushal Shukla | Student in an Organized Health Care Education/Training Program | 20 Canoe Brook Dr, Livingston, NJ 07039 | 2018-04-02 |
| 1629594643 | Northeast Pulmonary and Sleep Medical LLC | Specialist | 506 Regent Street, Suite A, Livingston, NJ 07039 | 2017-08-22 |
| 1184154098 | Snf Old Short Hills Operating Company, LLC | Skilled Nursing Facility | 348 East Cedar Street, Livingston, NJ 07039 | 2017-06-13 |
| 1093254690 | Suzanne M Verbesky Dpm LLC | Clinic/Center | 44 West Mcclellan Avenue, Livingston, NJ 07039 | 2017-02-15 |
| 1649723743 | Essex County Weightloss, LLC | Internal Medicine | 5 Regent St Ste 509, Livingston, NJ 07039 | 2016-07-26 |
| 1912352824 | Grant Arzumanov | Student in an Organized Health Care Education/Training Program | 94 Old Short Hills Rd., Livingston, NJ 07039 | 2016-04-28 |
| 1891158671 | Journey's Eve Counseling LLC | Counselor | 2 Northfield Rd, 210a, Livingston, NJ 07039 | 2016-03-30 |
| Find all providers in zip 07039 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700143591 | Graig Adam Fischgrund | Dentist | 56 Cornell Dr, Livingston, NJ 07039-5519 | 2012-04-18 |
| 1447446877 | Albert Yoo | Dentist | 160 South Livingston Avenue, Suite 110, Livingston, NJ 07039 | 2007-09-19 |
| 1164553913 | Robert Norman Eskow | Dentist | 514 S Livingston Ave, Livingston, NJ 07039-4351 | 2007-03-07 |
| 1740356435 | Mark Allen Canter | Dentist | 209 South Livingston Avenue, Livingston, NJ 07039 | 2006-11-27 |
| 1982605952 | Alan Rothstein | Dentist | 315 E Northfield Rd Ste 2d, Livingston, NJ 07039-4800 | 2005-08-02 |
| 1114922093 | Marc Kenneth Zweig | Dentist | 21 Winged Foot Dr, Livingston, NJ 07039-8221 | 2005-06-16 |
| 1780040014 | Vanguard Periodontal & Implant Associates, LLC | Dentist | 340 E Northfield Rd, Suite 2a, Livingston, NJ 07039-4892 | 2015-12-31 |
| 1114284452 | Wesam Salha | Dentist | 117 Southpoint Loop Ste 400, Livingston, TX 77351-8899 | 2012-04-11 |
| 1225247844 | Livingston Periodontal Associates, LLC | Dentist | 340 E Northfield Rd, Suite #2a, Livingston, NJ 07039-4892 | 2007-05-21 |
| 1558586685 | Daniel Benjamin Nejat | Dentist | 349 E Northfield Rd, Suite 207, Livingston, NJ 07039-4802 | 2007-04-16 |
| Find all providers in LIVINGSTON | ||||
| City | LIVINGSTON |
| Zip Code | 07039 |
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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.