| Dr Russ S Bergman, DMD | |
|
201 Lyons Ave, Newark Beth Israel Medical Center, Dept Of Dentistry, Newark, NJ 07112-2027 | |
| (973) 926-7642 | |
| Not Available |
| Full Name | Dr Russ S Bergman |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 201 Lyons Ave, Newark, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942397732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DI014884 (New Jersey) | Primary |
| Entity Name | Newark Beth Israel Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033210323 PECOS PAC ID: 3173437464 Enrollment ID: O20031119000754 |
| Entity Name | Barnabas Health Medical Group, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447206420 PECOS PAC ID: 0648172809 Enrollment ID: O20040127000361 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Russ S Bergman, DMD 201 Lyons Ave, Newark Beth Israel Medical Center, Dept Of Dentistry, Newark, NJ 07112-2027 Ph: (973) 926-7642 | Dr Russ S Bergman, DMD 201 Lyons Ave, Newark Beth Israel Medical Center, Dept Of Dentistry, Newark, NJ 07112-2027 Ph: (973) 926-7642 |
Hoda Yousef, DMD MS Dentist Medicare: Medicare Enrolled Practice Location: 90 Bergen St Ste 7700, Newark, NJ 07103 Phone: 973-972-2444 | |
Theodore Davis, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 804 Clinton Ave, Clinton Hill Dental Assoc, Newark, NJ 07108 Phone: 973-374-5200 Fax: 973-374-5609 | |
Dr. Cheryl Lynn Biber, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 110 Bergen St, Umdnj - New Jersey Dental School, Newark, NJ 07103 Phone: 973-972-0833 | |
Yoon Weon Suh, Dentist Medicare: Not Enrolled in Medicare Practice Location: 223 Bloomfield Ave, Newark, NJ 07104 Phone: 973-435-8100 | |
Dr. Ival G. Mcdermott, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: Umdnj-new Jersey Dental School, 110 Bergen Street, D830, Newark, NJ 07101 Phone: 973-972-3851 | |
Dr. Julyana Gomes Zagury, DMD, MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 110 Bergen St, Rm D860, Newark, NJ 07103 Phone: 973-972-7210 Fax: 973-972-3359 | |
Rashi Sharad Gupta, Dentist Medicare: Not Enrolled in Medicare Practice Location: 9 Alling St # 25, Newark, NJ 07102 Phone: 646-945-5522 |