Active NPI
Ferdous Ahmed Ali, D.M.D.
- Endodontics
- Newtown, PA
National Provider Identifier
1114295771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DS041823
- Practice address
- 2 Cambridge LN
Newtown, PA 18940-3325 - Phone
- (267) 417-8271
- NPI assigned
- Dec 9, 2011
- Last updated
- Oct 23, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401413810 | VA | |
| Endodontics | 1223E0200X | 057629 | NY | |
| Endodontics | 1223E0200X | 22DI02611500 | NJ | |
| Endodontics | 1223E0200X | DN19663 | FL | |
| Endodontics | 1223E0200X | DS041823 | PA | Primary |
Addresses
Primary practice location
2 Cambridge LN
Newtown, PA 18940-3325
Mailing address
32 Wellington Rd
Newtown, PA 18940-2423
Phone (321) 288-2507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160315002161 | NY | Order and Referring Only - Oral Surgery | 6507162625 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401413810 | VA | MD | Dentist |
| DN19663 | FL | MD | Endodontist |
| 22DI02611500 | NJ | MD | Endodontist |
| DS041823 | PA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1114295771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 WELLINGTON RD",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189402423",
"telephone_number": "321-288-2507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CAMBRIDGE LN",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189403325",
"telephone_number": "267-417-8271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "FERDOUS",
"middle_name": "AHMED",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-09",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401413810",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NY",
"license": "057629",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NJ",
"license": "22DI02611500",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "DN19663",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "PA",
"license": "DS041823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.