Active NPI
Karim Elmorshedy, DMD
- Dentist
- Somerset, NJ
National Provider Identifier
1225699077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02761400
- Practice address
- 107 Cedar Grove LN
Suite 102
Somerset, NJ 08873-4719 - Phone
- (732) 357-3770
- NPI assigned
- Jun 24, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02761400 | NJ | Primary |
Addresses
Primary practice location
107 Cedar Grove LN
Suite 102
Somerset, NJ 08873-4719
Mailing address
107 Cedar Grove LN
Suite 102
Somerset, NJ 08873-4719
Phone (732) 357-3770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0741418 | Medicaid | NJ |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02761400 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midjersey Family & Implant Dentistry | Current | Accepting new patients | |
| Woodbridge Dental LLC | Current | Accepting new patients |
Locations
107 Cedar Grove Ln
Ste 102
Somerset, NJ 08873
Phone (732) 357-3770
850 Woodbridge Center Dr
Woodbridge, NJ 07095
Phone (732) 636-3220
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Somerset, NJ
- NPI 1154918910
-
- Dental Clinic/Center
- Woodbridge, NJ
- NPI 1508655952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1225699077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 CEDAR GROVE LN",
"address_2": "SUITE 102",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088734719",
"telephone_number": "732-357-3770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 CEDAR GROVE LN",
"address_2": "SUITE 102",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088734719",
"telephone_number": "732-357-3770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELMORSHEDY",
"first_name": "KARIM",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-24",
"last_updated": "2021-04-09",
"certification_date": "2021-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02761400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0741418",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.