Organization Active NPI

Select Dental Manahawkin, PA

Doing business as Federici Dental

  • General Practice Dentistry
  • Manahawkin, NJ
National Provider Identifier
1023169273
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10935 Issued in NJ
Legal business name
SELECT DENTAL MANAHAWKIN, PA
Doing business as
Federici Dental
Practice address
1301 Route 72 W
Unit 230
Manahawkin, NJ 08050-2417
Phone
(609) 597-1234
NPI assigned
Jan 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Mohammad Mehran Rouhanian
Title
DDS/Owner
Phone
(301) 527-2727

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 10935 NJ Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

1301 Route 72 W
Unit 230
Manahawkin, NJ 08050-2417

Mailing address

1301 Route 72 W Ste 230
Manahawkin, NJ 08050-2483
Phone (609) 597-1234

Other names 2

  • Federici Dental Doing business as
  • Federici Dental PA Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180212002651 NJ DME Supplier - Oral Surgery - Dentist 9739449794 Practice locations: Manahawkin, NJ

National Provider Directory

National Provider Directory

Locations

1301 Route 72 W
Ste 230
Manahawkin, NJ 08050
Phone (609) 597-1234

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1023169273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 ROUTE 72 W STE 230",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502483",
            "telephone_number": "609-597-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 ROUTE 72 W",
            "address_2": "UNIT 230",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502417",
            "telephone_number": "609-597-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT DENTAL MANAHAWKIN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "ROUHANIAN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "MEHRAN",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "301-527-2727"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "10935",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Federici Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Federici Dental PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Manahawkin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.