Ahmad Eltejaye, D.M.D, M.P.H

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

G1-0011530 Issued in DE

Practice address

4133 Ogletown Stanton Rd Ste 200
Newark, DE 19713-4187

Phone

(302) 292-1600

NPI assigned

May 20, 2013

Last updated

Jul 11, 2023By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Christiana Center for Oral & Maxillofacial Surgery, P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Wilmington, DE
  • NPI 1629773247
  NPD (past)

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1134565963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 OGLETOWN STANTON RD STE 200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134187",
            "telephone_number": "302-292-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 OGLETOWN STANTON RD STE 200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134187",
            "telephone_number": "302-292-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 W 14th St # 2W22",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198011013",
            "country_code": "US",
            "telephone_number": "302-320-5743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Ponte Morino Dr",
            "address_2": "Ste. 1",
            "address_purpose": "LOCATION",
            "city": "Cameron Park",
            "state": "CA",
            "postal_code": "956827432",
            "country_code": "US",
            "telephone_number": "530-350-3099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELTEJAYE",
        "first_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "D.M.D, M.P.H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "DE",
            "license": "G1-0011530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra E Elliott, CNM, MSN
• Colleen Ellis, FNP-C
• Herman Martin Ellis, MD
• Emma C. Ellman-Groves, PA-C
• Sherif Elsayed, MD
• Alicia K Ely, DO
• Kari Ann Elzey, LAT, ATC
• Embrace the Change Counseling
• Embrace the Change Counseling
• Embracing Life Transitions, LLC

• Oral and Maxillofacial Surgery (Dentist) in Newark, DE
• Providers in Newark, DE by specialty
• Oral and Maxillofacial Surgery (Dentist) in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.