Nishat Shahabuddin DMD PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

NISHAT SHAHABUDDIN DMD PC

Practice address

8552 168TH St
Jamaica, NY 11432-2652

Phone

(917) 757-0981

NPI assigned

Apr 25, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nishat Shahabuddin, DMDNPI 1992319537

Title

Director

Phone

(917) 757-0981

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nishat Anbar Shahabuddin, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • North Bergen, NJ
  • NPI 1992319537
  NPD Authorized official

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1194469197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8552 168TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8552 168TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322652",
            "telephone_number": "917-757-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISHAT SHAHABUDDIN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "SHAHABUDDIN",
        "authorized_official_first_name": "NISHAT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-757-0981",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992319537",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06285203",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maurice Antoine Nicoleau, LMSW
• Cameron E Nienaber, M.D.
• Nightingale Home Care Network Inc
• Dehnny V Nin
• Ketly Fortune Nino, D.D.S.
• Nusrat Nishat, BCBA
• Maisey Nisimov, MASTERS
• Burkho Nisimova, PA
• Sarafina Nisita, M.S.
• Violeta Nisonov

• Orthodontics and Dentofacial Orthopedics Dentistry in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.