DR. GUILLERMO J MOLINA (NPI# 1952323701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952323701 |
Entity Type | Individual |
Full Name | DR. GUILLERMO J MOLINA |
Credential | DDS |
Practice Address |
1200 E Ridgewood Ave East Wing, First Floor Ridgewood NJ 07450-3957 |
Practice Telephone | 2016707774 |
Mailing Telephone | 2016707774 |
Enumeration Date | 2006-07-24 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
22DI01892300 | NJ | Dental Providers |
Street Address |
1200 E RIDGEWOOD AVE EAST WING, FIRST FLOOR |
City | RIDGEWOOD |
State | NJ |
Zip Code | 07450-3957 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427053537 | Joel E. Kopelman | Plastic Surgery | 1200 E Ridgewood Ave, Ste 1, Ridgewood, NJ 07450-3957 | 2005-06-15 |
1558915140 | Joy Charnesky | Neurological Surgery | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 | 2019-07-31 |
1811411267 | Tamar D Mermelstein | Physician Assistant | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 | 2017-07-27 |
1982142832 | Nicole Mohr | Physical Therapist | 1200 E Ridgewood Ave, Suite 208, Ridgewood, NJ 07450-3957 | 2017-02-10 |
1356897029 | Alexandra Kratch | Physical Therapist | 1200 E Ridgewood Ave, East Wing, Suite 208, Ridgewood, NJ 07450-3957 | 2016-08-31 |
1275919847 | Sylvia Ardeljan-savic | Physician Assistant | 1200 E Ridgewood Ave, Suite 200, Ridgewood, NJ 07450-3957 | 2015-08-06 |
1437544426 | Synapse Consulting | Specialist | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 | 2015-04-06 |
1104210301 | Marianne Marie Longo | Nurse Practitioner | 1200 E Ridgewood Ave, 2nd Floor, Ridgewood, NJ 07450-3957 | 2015-03-25 |
1679966907 | Advanced Surgical Center of Bergen County, P.C. | Clinic/Center | 1200 E Ridgewood Ave, Ste 211, Ridgewood, NJ 07450-3957 | 2015-03-11 |
1972923621 | Lenka Mysliwiec | Specialist | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 | 2014-04-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
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Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730107707 | Guillermo J. Molina, Dds & Associates, LLC | Dentist | 1200 E Ridgewood Ave, East Wing, First Floor, Ridgewood, NJ 07450-3957 | 2006-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124403795 | Heba Elkassaby | Dentist | 110 Bergen St Rm C-703, Newark, NJ 07103-2495 | 2015-07-24 |
1396131371 | Nakul H Rathi | Dentist | 28 Powderhorn Dr, Rockaway, NJ 07866-4835 | 2015-04-07 |
1447507785 | Smile Design Specialist, L.L.C. | Dentist | 312 Belleville Turnpike, Suite 3-b, North Arlington, NJ 07031-6460 | 2012-08-06 |
1619234358 | Sherman Farahani | Dentist | 1100 Maxwell Ln Unit 1106, Hoboken, NJ 07030-6881 | 2012-04-19 |
1144595356 | Advanced Dental of Woolwich | Dentist | 1630 Rt 322, Suite F, Woolwich, NJ 08085 | 2012-03-21 |
1164792453 | Daniel Seth Greenbaum | Dentist | 592 Us Highway 46, Fairfield, NJ 07004 | 2012-01-04 |
1013161553 | George Thomas Favetta Jr. | Dentist | 1966 Washington Valley Rd, Martinsville, NJ 08836-2037 | 2008-11-11 |
1740432137 | Central New Jersey Prosthodontics LLC | Dentist | 115 Copperfield Ln, Metuchen, NJ 08840-1234 | 2008-10-16 |
1043478977 | Edward J Kuch | Dentist | 733 River Road, Fair Haven, NJ 07704-3311 | 2008-05-28 |
1952573412 | Gail Patricia Petrosky | Dentist | 225 Gordons Corner Road, Suite 2e, Manalapan, NJ 07726 | 2008-03-25 |
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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.