Individual provider Active NPI

Maged George Ayad, D.D.S., PH.D.

  • Periodontics
  • Hackensack, NJ
National Provider Identifier
1215068457
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
22DI01917500 Issued in NJ
Practice address
946 Main St
Hackensack, NJ 07601-5136
Phone
(201) 343-2555
Fax
(201) 343-9112
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 22DI01917500 NJ Primary

Addresses

Primary practice location

946 Main St
Hackensack, NJ 07601-5136

Mailing address

946 Main St
Hackensack, NJ 07601-5136
Phone (201) 343-2555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
22DI01917500NJMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Periodontal and Implant Solutions, L.L.C. Periodontics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215068457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015136",
            "telephone_number": "201-343-2555",
            "fax_number": "201-343-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015136",
            "telephone_number": "201-343-2555",
            "fax_number": "201-343-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYAD",
        "first_name": "MAGED",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI01917500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.