Abdulkader Abuahamed, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

045634 Issued in NY

Practice address

37-14 73Rd St
# 201
Jackson HTS, NY 11372

Phone

(203) 957-8700

Fax

(203) 957-8702

NPI assigned

Aug 28, 2006

Last updated

Aug 15, 2013By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Unique Dental Care PC

  • Dentist
  • Norwalk, CT
  • NPI 1083051056
  Authorized official Same address or phone

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1184732455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37-14 73RD ST",
            "address_2": "# 201",
            "city": "JACKSON HTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-446-0095",
            "fax_number": "718-235-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37-14 73RD ST",
            "address_2": "# 201",
            "city": "JACKSON HTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "203-957-8700",
            "fax_number": "203-957-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUAHAMED",
        "first_name": "ABDULKADER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "045634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01521815",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ada Clinical Management Services Inc
• Samantha Bennahum, LCSW
• Centro Dental Familiar P.C (Centro Dental Familiar)
• Jae Yon Chong
• Philip John Clancey, LCSW

• Dentist in Jackson HTS, NY
• Providers in Jackson HTS, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.