Fouad Farid Fayek, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02972300 Issued in NJ

Practice address

302A N Main St
Forked River, NJ 08731-2743

Phone

(609) 804-5446

NPI assigned

May 22, 2023

Last updated

May 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1073205985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ESSEX AVE E APT 317",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070012061",
            "telephone_number": "732-998-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302A N MAIN ST",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312743",
            "telephone_number": "609-804-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYEK",
        "first_name": "FOUAD",
        "middle_name": "FARID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02972300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rachael M Ferrara, M.S.
• Rita A Ferrara, MSW LCSW
• Stephanie Ferrara, C.R.N.P.
• Ryanne Fetzer, MS-CCC

• General Practice Dentistry in Forked River, NJ
• Providers in Forked River, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.