Ali M Abbas, DMD
Individual provider Active NPI General Practice Dentistry · Springfield, NJ
NPI 1194948604 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194948604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DI20820 (NJ)
- Practice address
- 262 Morris Ave
Springfield, NJ 07081-1214 - Phone
- (973) 379-5177
- Fax
- (973) 379-2534
- NPI assigned
- Apr 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|---|
| I20100708000859 | NJ | Practitioner - Oral Surgery | 0648301622 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers School of Dental Medicine | Current |
Accepting new patients | |
| Rutgers School of Dental Medicine | Current |
Accepting new patients |
Locations
110 Bergen St
#D718
Newark, NJ 07103
Phone (973) 972-4242
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DI20820 | NJ | Yes |
Addresses
Primary practice location
262 Morris Ave
Springfield, NJ 07081-1214
Mailing address
262 Morris Ave
Springfield, NJ 07081-1214
Phone (973) 379-5177
Other providers in Springfield, NJ
- 21St Century Optics Inc.
- 2ND Home Springfield LLC
- 360 Healthcare Services LLC
- A Well-Balanced Life LLC
- Mikhail Abdurakhmanov
- Tirzah Abittan
- Trisha S Abraham
- Elizabeth Kaplan Abramovitz
- Ac Dental of Union NJ, Inc
All providers in Springfield, 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.