Haseena Mohamed Ghouse Mohideen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0556881 Issued in NY

Practice address

2169 Route 94
Salisbury Mills, NY 12577-5207

Phone

(732) 725-2064

NPI assigned

Aug 10, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1093094955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 GEORGIAN CT",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302534",
            "telephone_number": "732-725-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2169 ROUTE 94",
            "city": "SALISBURY MILLS",
            "state": "NY",
            "postal_code": "125775207",
            "telephone_number": "732-725-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED GHOUSE MOHIDEEN",
        "first_name": "HASEENA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "55688",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0556881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Florence Hannes, O.T.R.
• Kimberly Miller, LMHC
• Jennifer Ann Mowbray-Shapiro, M.S., CCC-SLP
• Amy Pittari, L.C.S.W.
• Rita Saetta
• Gloria Vega
• Lynn B. Weinrit

• General Practice Dentistry in Salisbury Mills, NY
• Providers in Salisbury Mills, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.