Individual provider Active NPI

Joshua M Abrahams, DMD

  • Dentist
  • Montville, NJ
National Provider Identifier
1104130566
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50055013 Issued in NY
Practice address
150 River Rd
Suite H-2
Montville, NJ 07045
Phone
(973) 316-5757
Fax
(973) 331-1443
NPI assigned
Jul 27, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 50055013 NY Primary

Addresses

Primary practice location

150 River Rd
Suite H-2
Montville, NJ 07045

Mailing address

150 River Rd
Suite H-2
Montville, NJ 07045
Phone (973) 316-5757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20190807000077 NJ Practitioner - Oral Surgery 0446534135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Nova Southeastern Univ College of Dental Medicine, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Montville Oral Surgery Associates, L.L.C.Group PAC ID 5395802185, 2 clinicians

Practice addresses (Care Compare)

150 River Rd
Suite J1
Montville, NJ 07045-8923
Phone (973) 316-5757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50055013NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Montville Oral Surgery Associates, L.L.C. CurrentSince Jul 29, 2019 Accepting new patients

Locations

150 River Rd
Ste H2
Montville, NJ 07045
Phone (973) 316-5757

150 River Rd
Ste J1
Montville, NJ 07045
Phone (973) 316-5757

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1104130566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 RIVER RD",
            "address_2": "SUITE H-2",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "07045",
            "telephone_number": "973-316-5757",
            "fax_number": "973-331-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 RIVER RD",
            "address_2": "SUITE H-2",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "07045",
            "telephone_number": "973-316-5757",
            "fax_number": "973-331-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAMS",
        "first_name": "JOSHUA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-27",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "50055013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montville, NJ

Sources for this page

Verify at the official NPI Registry.