COASTAL MONMOUTH DENTAL SPECIALISTS, LLC (NPI# 1720696420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720696420 |
| Entity Type | Organization |
| Organization Name | COASTAL MONMOUTH DENTAL SPECIALISTS, LLC |
| Practice Address |
1300 State Route 35 Plaza 1 Suite 202 Ocean NJ 07712 |
| Practice Telephone | 7325314411 |
| Practice Fax Number | 7325313350 |
| Mailing Telephone | 7325314411 |
| Mailing Fax Number | 7325313350 |
| Enumeration Date | 2020-07-19 |
| Last Update Date | 2020-07-19 |
| Authorized Official Name | DR. ANDREW RICHARD SAMUEL (MANAGING MEMBER) |
| Authorized Official Telephone | 7325314411 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Jersey Shore Endodontics | Doing Business As Name - Organization |
| Street Address |
1300 STATE ROUTE 35 PLAZA 1 SUITE 202 |
| City | OCEAN |
| State | NJ |
| Zip Code | 07712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174605034 | Andrew Richard Samuel | Dentist | 1300 State Route 35, Plaza 1, Suite 203, Ocean, NJ 07712-3537 | 2006-10-19 |
| 1497125603 | Tamra Wroblesky | Physical Therapist | 1300 State Route 35, Plaza II, Unit 102, Ocean, NJ 07712-3537 | 2015-09-30 |
| 1831575075 | Inner Dynamics Physical Therapy | Physical Therapist | 1300 State Route 35, Plaza 2 Suite 102, Ocean, NJ 07712-3537 | 2015-08-10 |
| 1619175908 | Brenda Sahlin D.c. | Chiropractor | 1300 State Route 35, Plaza IIi Suite 101, Ocean, NJ 07712-3537 | 2007-07-07 |
| 1821292756 | Yana Volfson Newman | Dentist | 1300 State Route 35, Ocean, NJ 07712-3537 | 2007-06-13 |
| 1093916447 | Patricia M. Talerico | Chiropractor | 1300 State Route 35, Plaza IIi Suite 101, Ocean, NJ 07712-3537 | 2007-05-31 |
| 1700098506 | Ira J Baum | Dentist | 1300 State Route 35, Plaza One, Ocean, NJ 07712-3537 | 2007-05-04 |
| 1881806685 | Michele A Scrime | Dentist | 1300 State Route 35, Plaza One, Ocean, NJ 07712-3537 | 2007-05-04 |
| 1043436017 | Moty N. Tal M.d. LLC | Obstetrics & Gynecology | 1300 State Route 35, Plaza 2 Suite 202, Ocean, NJ 07712-3537 | 2007-04-18 |
| 1508913898 | American Heart Center PC | Specialist | 1300 State Route 35, Building 2, Suite 102, Ocean, NJ 07712-3537 | 2007-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275762 | Derek Du | Physical Therapist | 52 Dune Rd, Ocean Township, NJ 07712 | 2020-08-12 |
| 1295395630 | Lauren Rosenthal | Behavior Technician | 3 Michael Dr, Tinton Falls, NJ 07712 | 2019-06-18 |
| 1649743287 | Zachary Fendrick | Physical Therapist | 1540 West Park Ave Unit #4, Tinton Falls, NJ 07712 | 2019-01-07 |
| 1922597988 | Rosemary E Smentkowski | Nurse Practitioner | 1518 4th Ave, Asbury Park, NJ 07712 | 2018-05-05 |
| 1285131748 | Life Long Health Incorporated | Durable Medical Equipment & Medical Supplies | 606 Bangs Ave 3rd Floor, Unit 327, Asbury Park, NJ 07712 | 2018-04-11 |
| 1174035745 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt #213, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-11-03 |
| 1033629159 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 103, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1477063592 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 105, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1750891966 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 107, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1316457526 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 110, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| Find all providers in zip 07712 | ||||
| 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 |
|---|---|---|---|---|
| 1184639619 | Advance Endodontic Associates, Pa | Dentist | 1398 State Route 35, Ocean, NJ 07712-3543 | 2006-07-31 |
| 1063667400 | Jersey Shore Endodontics | Dentist | 1300 Hwy 35, Plaza I, Ocean, NJ 07712-3537 | 2008-11-26 |
| 1700098506 | Ira J Baum | Dentist | 1300 State Route 35, Plaza One, Ocean, NJ 07712-3537 | 2007-05-04 |
| 1881806685 | Michele A Scrime | Dentist | 1300 State Route 35, Plaza One, Ocean, NJ 07712-3537 | 2007-05-04 |
| 1871718254 | Ira J. Zohn | Dentist | 1398 State Route 35, Ocean, NJ 07712-3543 | 2007-04-13 |
| 1194949693 | Antonett M. Thai | Dentist | 1398 State Route 35, Ocean, NJ 07712-3543 | 2007-04-13 |
| 1972601995 | Fabio G. Apolito | Dentist | 1398 State Route 35, Ocean, NJ 07712-3543 | 2006-09-21 |
| 1386742724 | Arthur L. Berger | Dentist | 1398 State Route 35, Ocean, NJ 07712-3543 | 2006-09-20 |
| 1104924489 | Gayle B. Elbaum | Dentist | 1398 State Route 35, Ocean, NJ 07712-3543 | 2006-09-20 |
| 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 |
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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.