DR. JERRY SHERMAN (NPI# 1891000881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891000881 |
| Entity Type | Individual |
| Full Name | DR. JERRY SHERMAN |
| Credential | D.D.S. |
| Practice Address |
638 Bard Ave 1st Floor Staten Island NY 10310-3020 |
| Practice Telephone | 7188167135 |
| Mailing Telephone | 7188167135 |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2010-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
022954-1 | NY | Dental Providers |
| Street Address |
638 BARD AVE 1ST FLOOR |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10310-3020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780999730 | Bonnie Sherman | Registered Nurse | 638 Bard Ave, 1st Floor, Staten Island, NY 10310-3020 | 2010-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506027 | Sini Bijoy | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-16 |
| 1497374243 | Isabelle Mulango | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dep't of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-12 |
| 1174152839 | Yvonne Hanna | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Depatment of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-05 |
| 1588293591 | Muhammad Shaheryar Haider | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-02 |
| 1427602846 | Mc Queen and Otuyelu Lcsw Wellness | Social Worker | 941 Forest Avenue, Staten Island, NY 10310 | 2019-07-25 |
| 1780240333 | Zeinab Mohammed Kaleemullah | Student in an Organized Health Care Education/Training Program | 355 Bard Avenue Department of Psychiatry, Staten Island, NY 10310 | 2019-05-18 |
| 1164086229 | Francine Fane Foo | Student in an Organized Health Care Education/Training Program | 355 Bard Ave., Depart of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2019-04-24 |
| 1528621893 | Francis Njukeng Atemnkeng | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine Villa Bldg, 1st Floor, Staten Island, NY 10310 | 2019-04-22 |
| 1467015966 | Anum Humayun | Student in an Organized Health Care Education/Training Program | 355 Bard Ave. Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2019-04-19 |
| 1760951842 | Syed M Faizaan Zabiullah | Student in an Organized Health Care Education/Training Program | 355 Bard Avenue, Department of Medicine, Villa Building, 1st Floor,staten Island, New York, NY 10310 | 2018-11-18 |
| Find all providers in zip 10310 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104338946 | Liberty Oral Surgery | Dentist | 201 Edward Curry Ave Ste 101, Staten Island, NY 10314-7102 | 2017-11-02 |
| 1225316961 | Paramount Oral Surgery and Dental Implant Center, LLC | Dentist | 201 Edward Curry Ave, Suite 101, Staten Island, NY 10314-7105 | 2011-07-29 |
| 1740316413 | John A Lavinio | Dentist | 4300 Hylan Blvd, Staten Island, NY 10312-6505 | 2007-02-26 |
| 1760557417 | Richard Stephen Berk | Dentist | 3377 Richmond Avenue, Staten Island, NY 10312 | 2006-11-21 |
| 1063475424 | Jeremiah D'anna | Dentist | 4571 Hylan Blvd, Staten Island, NY 10312-6405 | 2006-04-07 |
| 1730178120 | Ralph Thomas Costagliola | Dentist | 71 Todt Hill Rd, Suite 106, Staten Island, NY 10314-4534 | 2005-10-18 |
| 1457785024 | Oral Surgery Associates P.C. | Dentist | 4300 Hylan Blvd, Suite 2g, Staten Island, NY 10312-6507 | 2013-08-30 |
| 1649542523 | Lydia Jane Lam | Dentist | 256 C Mason Ave, 3rd Floor, Staten Island, NY 10305 | 2012-02-07 |
| 1316217763 | Staten Island Oral & Maxillofacial Surgery | Dentist | 256 Mason Ave # C, Staten Island, NY 10305-3408 | 2012-01-03 |
| 1700179124 | Advanced Oral Surgery of Staten Island | Dentist | 2025 Richmond Ave, Suite Ll2, Staten Island, NY 10314-3937 | 2011-05-18 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10310 |
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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.