Admasu N Gizachew

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02524100 Issued in NJ

Practice address

1683 Route 88 Ste C
Brick, NJ 08724-3072

Phone

(347) 455-1108

NPI assigned

Jan 14, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Agn Dental Practices, PC

  • Dentist
  • Eatontown, NJ
  • NPI 1558831438
  NPD Authorized official
• Brick Dental Care

  • Dental Clinic/Center
  • Brick, NJ
  • NPI 1992273155
  NPD Authorized official
• Nu Dental PC

  • Dental Clinic/Center
  • Staten Island, NY
  • NPI 1245871029
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1295072973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 CENTER BLVD",
            "address_2": "SUITE 1902",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111095619",
            "telephone_number": "231-580-9205",
            "fax_number": "888-557-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1683 ROUTE 88 STE C",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243072",
            "telephone_number": "347-455-1108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "637 Wyckoff Ave",
            "address_2": "Suite 236",
            "address_purpose": "LOCATION",
            "city": "Wyckoff",
            "state": "NJ",
            "postal_code": "074811438",
            "country_code": "US",
            "telephone_number": "888-808-0361",
            "fax_number": "888-557-2030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIZACHEW",
        "first_name": "ADMASU",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-14",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02524100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Girardini, MD
• John H Girges
• Megan Carol Gitto, LAC
• Timothy Paul Gitto, LCSW
• Cathleen Anne Givney, M.S., CCC-SLP
• Nico Gladfelter, L.AC.
• Lisa Ann Glassford, BCBA
• Amanda Nicole Glynn
• Emily Goeller, LSW
• Arlene Goldfarb-Schwartz

• All providers in Brick, NJ
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.