Assad Z Tanios, DDS
Individual provider Active NPI General Practice Dentistry · Beachwood, NJ
NPI 1174739015 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1174739015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 19038 (NJ)
- Practice address
- 659 Atlantic City Blvd
Beachwood, NJ 08722-4007 - Phone
- (732) 349-0555
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160519001888 | NJ | Order and Referring Only - Dentist |
2365731072 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19038 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beachwood Dental Arts, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19038 | NJ | Yes |
Addresses
Primary practice location
659 Atlantic City Blvd
Beachwood, NJ 08722-4007
Mailing address
5 Eldorado Way
Monroe, NJ 08831-4508
Phone (732) 521-5030
Other providers in Beachwood, NJ
- Shore Regenerative Medicine LLC
- Tanisha Sosa
- Patrick Starr
- Steven J Pollack DC PA
- Samantha Sullivan
- The Arc Ocean County Chapter, Inc.
- Triangle Mental Health and Substance Abuse Services
- Kimberly Ann Veith
- Maria Vernachio
- YMCA of the Jersey Shore
All providers in Beachwood, NJ · General Practice Dentistry in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.