Heba Elkassaby, BDS, DMD, MDSC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

22DI02797800 Issued in NJ

Practice address

110 Bergen St RM C-703
Newark, NJ 07103-2495

Phone

(347) 446-3873

NPI assigned

Jul 24, 2015

Sex

Female

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

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

Specialty

Dentist

Education

Rutgers School of Dental Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rutgers University Dental Associates-New BrunswickGroup PAC ID 4385922251, 6 clinicians

Rutgers Health - University Dental AssociatesGroup PAC ID 7113811837, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Rutgers Health -University Dental Associates

  • Endodontics
  • Newark, NJ
  • NPI 1346454584
  Medicare reassignment Care Compare group
• Rutgers University Dental Associates-New Brunswick

  • Dentist
  • New Brunswick, NJ
  • NPI 1164874376
  Medicare reassignment Care Compare group
• Rutgers School of Dental Medicine

  • Dental Clinic/Center
  • Newark, NJ
  • NPI 1073712543
  Medicare reassignment NPD
• Rutgers Health - RSDM Dental Associates - New Brunswick Os - NB

  • Oral and Maxillofacial Surgery (Dentist)
  • New Brunswick, NJ
  • NPI 1164171930
  NPD
• Rutgers School of Dental Medicine

  • Dental Clinic/Center
  • Newark, NJ
  • NPI 1487853248
  NPD

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1124403795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BERGEN ST RM C-703",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032495",
            "telephone_number": "973-972-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BERGEN ST RM C-703",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032495",
            "telephone_number": "347-446-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKASSABY",
        "first_name": "HEBA",
        "name_prefix": "Dr.",
        "credential": "BDS, DMD, MDSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NJ",
            "license": "22DI02797800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Eliacin, DNP-BC
• Mary Elias
• Eli Eliav, DMD
• Elite Healthcare, Inc.
• Elite PT LLC
• Ellen Levan, MD, PC
• Angelah Ellis, DPM
• Jerrold J Ellner, M.D.
• Bridget Ann Ellsworth, RN
• Katherine Victoria Ellu, MS.

• Prosthodontics in Newark, NJ
• Providers in Newark, NJ by specialty
• Prosthodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.