Active NPI
Pegah Amaeri, DMD
- General Practice Dentistry
- Saddle Brook, NJ
National Provider Identifier
1063621746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DIO2196100
- Practice address
- 160 Market St
Saddle Brook, NJ 07663-5400 - Phone
- (201) 843-0041
- NPI assigned
- May 21, 2007
- Last updated
- Sep 27, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 06453701 | NY | |
| General Practice Dentistry | 1223G0001X | 22DIO2196100 | NJ | Primary |
Addresses
Primary practice location
160 Market St
Saddle Brook, NJ 07663-5400
Mailing address
173 W Prospect St
Waldwick, NJ 07463-1332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DIO2196100 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790467200000",
"number": "1063621746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 W PROSPECT ST",
"city": "WALDWICK",
"state": "NJ",
"postal_code": "074631332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 MARKET ST",
"city": "SADDLE BROOK",
"state": "NJ",
"postal_code": "076635400",
"telephone_number": "201-843-0041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMAERI",
"first_name": "PEGAH",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2026-09-27",
"certification_date": "2026-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "06453701",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DIO2196100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saddle Brook, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.