Active NPI
Jessica Saliba, DMD
- Dentist
- Midland Park, NJ
National Provider Identifier
1073975207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS041197
- Practice address
- 155 E Center St
Midland Park, NJ 07432-1680 - Phone
- (201) 704-5223
- NPI assigned
- Mar 26, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | DS041197 | PA | Primary |
Addresses
Primary practice location
155 E Center St
Midland Park, NJ 07432-1680
Mailing address
155 E Center St
Midland Park, NJ 07432-1680
Phone (201) 704-5223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181214000423 | PA | Order and Referring Only - Dentist | 1153666466 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492646400000",
"number": "1073975207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 E CENTER ST",
"city": "MIDLAND PARK",
"state": "NJ",
"postal_code": "074321680",
"telephone_number": "201-704-5223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 E CENTER ST",
"city": "MIDLAND PARK",
"state": "NJ",
"postal_code": "074321680",
"telephone_number": "201-704-5223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALIBA",
"first_name": "JESSICA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-26",
"last_updated": "2017-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS041197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.