Individual provider Active NPI

Firas Marsheh, DDS

  • Endodontics
  • Trenton, NJ
National Provider Identifier
1053451401
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
053280 Issued in NY
Practice address
1 Quakerbridge PLZ
Trenton, NJ 08619-1248
Phone
(609) 586-8080
Fax
(609) 586-5572
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 053280 NY Primary
General Practice Dentistry 1223G0001X 22D102323200 NJ

Addresses

Primary practice location

1 Quakerbridge PLZ
Trenton, NJ 08619-1248

Mailing address

428 Ovington Ave
Apt# 2E
Brooklyn, NY 11209-1551
Phone (917) 379-9730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210810003733 NY Order and Referring Only - DentistPractitioner - Dentist 1456616671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22D102323200NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Simply Endodontics LLC Endodontics Current Accepting new patients
Perfect Endo Corp Endodontics CurrentSince Feb 1, 2018 Accepting new patients
American Dental Care Associates PA General Practice Past Accepting new patients

Locations

69 1st Ave
Raritan, NJ 08869
Phone (800) 631-5250

Interoperability endpoints

  • Direct secure messaging: fmarsheh485894@nyumc.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1053451401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 OVINGTON AVE",
            "address_2": "APT# 2E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091551",
            "telephone_number": "917-379-9730",
            "fax_number": "609-586-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 QUAKERBRIDGE PLZ",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086191248",
            "telephone_number": "609-586-8080",
            "fax_number": "609-586-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHEH",
        "first_name": "FIRAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "053280",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D102323200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.