Organization Active NPI

Mina Makram DDS LLC

  • General Practice Dentistry
  • Cedar Grove, NJ
National Provider Identifier
1194485268
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MINA MAKRAM DDS LLC
Practice address
466 Pompton Ave Ste 6/7
Cedar Grove, NJ 07009-1812
Phone
(973) 857-0567
NPI assigned
Dec 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Dr. Mina MakramNPI 1013414606
Title
Owner
Phone
(973) 857-0567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

466 Pompton Ave Ste 6/7
Cedar Grove, NJ 07009-1812

Mailing address

466 Pompton Ave Ste 6/7
Cedar Grove, NJ 07009-1812
Phone (973) 857-0567

Other names 1

  • Cedar Grove Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

466 Pompton Ave
Ste 67
Cedar Grove, NJ 07009
Phone (973) 857-0567

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1194485268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 POMPTON AVE STE 6/7",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091812",
            "telephone_number": "973-857-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 POMPTON AVE STE 6/7",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091812",
            "telephone_number": "973-857-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINA MAKRAM DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "MAKRAM",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-857-0567",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Grove Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Grove, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.