Active NPI
Select Dental Manahawkin, PA
Doing business as Federici Dental
- General Practice Dentistry
- Manahawkin, NJ
National Provider Identifier
1023169273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10935
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
- Federici Dental PA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180212002651 | NJ | DME Supplier - Oral Surgery - Dentist | 9739449794 | Practice locations: Manahawkin, NJ |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Manahawkin, NJ
- NPI 1508008731
-
- General Practice Dentistry
- Manahawkin, NJ
- NPI 1538301767
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.