KINDA HANNA YACOUB (NPI# 1972638070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972638070 |
| Entity Type | Individual |
| Full Name | KINDA HANNA YACOUB |
| Credential | DDS |
| Practice Address |
399 Hoover Ave Suite #1 Bloomfield NJ 07003 |
| Practice Telephone | 9735666161 |
| Practice Fax Number | 9735660866 |
| Mailing Telephone | 9735666161 |
| Mailing Fax Number | 9735660866 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DI020914 | NJ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 9014306 | 05 |
| Street Address |
399 HOOVER AVE SUITE #1 |
| City | BLOOMFIELD |
| State | NJ |
| Zip Code | 07003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376582734 | Lori Ann Colyer-aversa | Pediatrics | 399 Hoover Ave, Suite 5, Bloomfield, NJ 07003-3924 | 2006-06-04 |
| 1235522194 | Primary Care Partners, LLC | Pediatrics | 399 Hoover Ave, Suite 5, Bloomfield, NJ 07003-3924 | 2015-03-16 |
| 1992091573 | Mounzer Yacoub | Obstetrics & Gynecology | 399 Hoover Ave, Suite #1, Bloomfield, NJ 07003 | 2011-06-22 |
| 1144523390 | Shavon Leigh Jackson-michel | Naturopath | 399 Hoover Ave, Suite 8, Bloomfield, NJ 07003-3924 | 2010-12-09 |
| 1508097122 | Mikyle Shakira Byrd-vaughn | Naturopath | 399 Hoover Ave, Suite 9, Bloomfield, NJ 07003-3924 | 2009-07-30 |
| 1053585612 | Brookside Family Dental Corp | Dentist | 399 Hoover Ave, Suite 1, Bloomfield, NJ 07003 | 2008-04-15 |
| 1871789396 | Melissa Brinton | Social Worker | 399 Hoover Ave, Bloomfield, NJ 07003-3924 | 2007-09-18 |
| 1356429807 | Maria M Yerovi | Pediatrics | 399 Hoover Ave, Suite 4, Bloomfield, NJ 07003 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560501 | Delores Heart,llc | Respite Care | Delores Heart, 17 Dodd St. Ste A5, Bloomfield, NJ 07003 | 2020-05-21 |
| 1235798505 | Tina Rivera | Physical Therapy Assistant | A Team Approach, Pt 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2019-06-11 |
| 1144709239 | Jennifer Stuart | Social Worker | 27 Park Place, Apt. 13, Bloomfield, NJ 07003 | 2018-08-09 |
| 1992212179 | Kristina Camille P Manapat | Student in an Organized Health Care Education/Training Program | 1690 Broad St., Bloomfield, NJ 07003 | 2018-01-09 |
| 1760993224 | Vivian Arroyo | Counselor | 76 Baldwin Pl, Bloomfield, NJ 07003 | 2017-10-23 |
| 1942719653 | Savita Singh | Dentist | 40 Conger Street, 1402b, Bloomfield, NJ 07003 | 2017-09-26 |
| 1942729926 | Moya Mathison | Counselor | 27 West St # 5a, Bloomfield, NJ 07003 | 2017-09-11 |
| 1801319512 | Janice Rainford | Counselor | 267 Broughton Ave # 2, Bloomfield, NJ 07003 | 2017-07-25 |
| 1154841468 | Nhat Minh Nguyen | Nurse Practitioner | 3 Donald St, Apt. D, Bloomfield, NJ 07003 | 2017-06-27 |
| 1578091872 | Janice M. Steel | Physical Therapy Assistant | 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2017-05-31 |
| Find all providers in zip 07003 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631478 | Ismile Dental Care of Bloomfield | Dentist | 1455 Broad St Ste 105, Bloomfield, NJ 07003-3039 | 2020-08-26 |
| 1942719653 | Savita Singh | Dentist | 40 Conger Street, 1402b, Bloomfield, NJ 07003 | 2017-09-26 |
| 1043606239 | Amrita S. Varma | Dentist | 401-franklin St., The Center for Dentistry of Bloomfield, Pa, Bloomfield, NJ 07003 | 2015-04-14 |
| 1376959890 | Izaz M. Khan | Dentist | 317 Cottage Grove Rd, Bloomfield, CT 06002-3148 | 2014-07-03 |
| 1417377573 | Marina Sereda | Dentist | 27 Fritz St, Bloomfield, NJ 07003-4009 | 2014-04-16 |
| 1700143195 | Bryce Eagar | Dentist | 100 N Church St Ste B, Bloomfield, NM 87413-5754 | 2012-04-23 |
| 1265752638 | Sara R Rogers | Dentist | 112 Fairfield Hill Road, Bloomfield, KY 40008-0484 | 2010-06-08 |
| 1053549568 | Randall K. Freeman, Dds | Dentist | 54 West Main Street, Bloomfield, NY 14469-9231 | 2009-06-24 |
| 1669624839 | Vincent Joseph Lipoma | Dentist | 30 Huck Rd, Bloomfield, NJ 07003-4123 | 2008-10-18 |
| 1588839443 | David Stanley Tomaszewicz | Dentist | 15 Grove St, Bloomfield, NJ 07003-5611 | 2008-04-22 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 07003 |
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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.