DR. MITCHELL MARK KIRSCHBAUM (NPI# 1871514430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871514430 |
| Entity Type | Individual |
| Full Name | DR. MITCHELL MARK KIRSCHBAUM |
| Credential | DDS |
| Practice Address |
223 W Main St Suite 4 Boonton NJ 07005-1166 |
| Practice Telephone | 9733348228 |
| Practice Fax Number | 9738223036 |
| Mailing Telephone | 9733348228 |
| Mailing Fax Number | 9738223036 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9938 | NJ | Dental Providers |
| Street Address |
223 W MAIN ST SUITE 4 |
| City | BOONTON |
| State | NJ |
| Zip Code | 07005-1166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003196858 | Primary Care Partners, LLC | Internal Medicine | 223 W Main St, Suite 3, Boonton, NJ 07005-1166 | 2011-08-25 |
| 1467613935 | Lakeland Eye Care PC | Public Health or Welfare | 223 W Main St, Boonton, NJ 07005-1166 | 2008-06-18 |
| 1245426337 | Boonton Podiatry | Podiatrist | 223 W Main St, Suite 1b, Boonton, NJ 07005-1166 | 2007-09-21 |
| 1669552881 | Arlene Ahmad | Ophthalmology | 223 W Main St, Boonton, NJ 07005 | 2006-10-16 |
| 1669498218 | Philip M Scaduto Md Patricia M Renz Md PC | Internal Medicine | 223 W Main St, Boonton, NJ 07005 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669997524 | Kyle Feather | Physical Therapist | 315 Wootton Street, Units G and H, Boonton, NJ 07005 | 2017-08-11 |
| 1629445234 | Eric Capell | Preventive Medicine | 102 Boonton Ave, Boonton, NJ 07005 | 2015-08-31 |
| 1639553530 | The Rose House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 929 Knoll Rd., Parsippany-troy Hills, NJ 07005 | 2015-07-10 |
| 1912241340 | Generation Pharmacy Group, LLC. | Pharmacy | 85 Fulton Street, Suite 9a, Boonton, NJ 07005 | 2012-11-26 |
| 1639323512 | Anna Marie Williams | Social Worker | 408 Main St Ste 204, Boonton, NJ 07005 | 2008-11-05 |
| 1275796286 | Yurata Gerwel Modzelewski | Pediatrics | 105 Powerville Road, Boonton Twp, NJ 07005 | 2008-07-09 |
| 1467656280 | Suzanne L. Feuer | Counselor | Saint Clares Health System, 130 Powerville Road, Boonton, NJ 07005 | 2007-06-14 |
| 1619029261 | Laura Jean Nowak | Social Worker | 130 Powerville Road, Boonton, NJ 07005 | 2007-01-16 |
| 1891842803 | Wilda Mesias | Psychologist | 550 West Main St, Boonton, NJ 07005 | 2007-01-04 |
| 1710912332 | Philip Mark Scaduto | Internal Medicine | 223 West Main St, Boonton, NJ 07005 | 2006-07-12 |
| Find all providers in zip 07005 | ||||
| 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 |
|---|---|---|---|---|
| 1447489455 | Abid Hussain Rizvi | Dentist | 528 William St, Boonton, NJ 07005-1825 | 2009-07-11 |
| 1558427476 | Hawkins Dental Care LLC | Dentist | 362 Hawkins Pl, Boonton, NJ 07005-1128 | 2006-12-28 |
| 1083827364 | Hawkins Dental Care | Dentist | 362 Hawkins Pl, Boonton, NJ 07005-1128 | 2007-05-07 |
| 1700924347 | Albert Alan Wychulis | Dentist | 550 W Main St, Boonton, NJ 07005-1168 | 2007-02-04 |
| 1093864415 | Robert E Cabana | Dentist | 362 Hawkins Pl, Boonton, NJ 07005-1128 | 2007-01-09 |
| 1639228968 | Cabana Family Dental, Pa | Dentist | 362 Hawkins Pl, Boonton, NJ 07005-1128 | 2007-01-09 |
| 1962551382 | Dennis R Cabana | Dentist | 362 Hawkins Pl, Boonton, NJ 07005-1128 | 2007-01-09 |
| 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.