Individual provider Active NPI

Nina A Sado, D.M.D.

  • General Practice Dentistry
  • Somerset, NJ
National Provider Identifier
1033357884
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI02399100 Issued in NJ
Practice address
6 Azalea LN
Somerset, NJ 08873-2802
Phone
(732) 545-0169
NPI assigned
Feb 2, 2009
Last updated
Feb 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI02399100 NJ Primary

Addresses

Primary practice location

6 Azalea LN
Somerset, NJ 08873-2802

Mailing address

6 Azalea LN
Somerset, NJ 08873-2802

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230606002747 NJ Practitioner - Dentist 0446617401 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI02399100NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Central Jersey Medical Center, Inc. CurrentSince May 8, 2023 Accepting new patients
Central Jersey Medical Center, Inc CurrentSince May 8, 2023 Accepting new patients
Central Jersey Medical Center, Inc. Past Accepting new patients

Locations

80 Johnson Ave
Newark, NJ 07108
Phone (973) 623-8592

275 Hobart St
Perth Amboy, NJ 08861
Phone (732) 376-6635

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1033357884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 AZALEA LN",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088732802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 AZALEA LN",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088732802",
            "telephone_number": "732-545-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADO",
        "first_name": "NINA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-02",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI02399100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.