Provider Type Icon

DR. AMY TANCHYK DMD NPI 1497933071


NPI Information

NPI: 1497933071
Provider Name: DR. AMY TANCHYK, DMD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Organization: ORAL SURGERY GROUP, PA

PECOS Registration: Yes

Address:
150 BERGEN ST
ROOM C-401 UNIT ONE
NEWARK, NJ
ZIP 07103
Phone: (973) 972-5026
Get Directions

DR. Amy Tanchyk, DMD is an oral and maxillofacial surgery dentist in Newark, NJ with 17 years of experience. The provider is 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. DR. Amy Tanchyk, DMD NPI is 1497933071. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: RUTGERS SCHOOL OF DENTAL MEDICINE
Graduation Year:2007

The provider's business location address is:

150 BERGEN ST
ROOM C-401 UNIT ONE
NEWARK, NJ
ZIP 07103-496
Phone: (973) 972-5026
Fax: (973) 972-3070

The NPI 1497933071 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/5/2008 and was last updated on 2/5/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery22DI02350300NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.