Mary M Abdelmalek, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22DR03946 Issued in NJ

Practice address

418 Summit Ave
Jersey City, NJ 07306-3101

Phone

(201) 499-1969

NPI assigned

Jun 12, 2024

Last updated

Jun 17, 2024By the provider in NPPES

Sex

Female

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1194567867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GEORGE ALLEN CT",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088313675",
            "telephone_number": "732-678-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 SUMMIT AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063101",
            "telephone_number": "201-499-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELMALEK",
        "first_name": "MARY",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DR03946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abd Rxcare Inc (Norman's Pharmacy)
• Asmaa Abdeen, DMD
• Jerome Daniel Abdel-Maseih, D0
• Hazem Shokry Mohamed Abdelhafez, PHYSICAL THERAPY
• Assmaa Abdelhamid
• Rawda Abdelmenam, CCC-SLP
• Maria Abdelmessih
• Moataz M Abdelwahed
• Haseya Abdoul-Karim
• Muhammad Abdullah, MBBS

• Dentist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.