Active NPI
Daniel Adam Alwan, DDS
- Dentist
- Prospect Park, NJ
National Provider Identifier
1235804378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02857300
- Practice address
- 222 Haledon Ave
Prospect Park, NJ 07508-2024 - Phone
- (973) 904-9611
- NPI assigned
- Aug 11, 2021
- Last updated
- Apr 14, 2025
- 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 | 22DI02857300 | NJ | Primary |
Addresses
Primary practice location
222 Haledon Ave
Prospect Park, NJ 07508-2024
Mailing address
8524 1/2 Rosecrans Ave
Paramount, CA 90723-3644
Phone (973) 904-9611
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 |
|---|---|---|---|
| 22DI02857300 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alwan and Shayefar Dental Corp. | Dentist | Current | Accepting new patients |
Locations
8524 Rosecrans Ave
Paramount, CA 90723
Phone (562) 633-3082
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": "1628640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1235804378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8524 1/2 ROSECRANS AVE",
"city": "PARAMOUNT",
"state": "CA",
"postal_code": "907233644",
"telephone_number": "973-904-9611",
"fax_number": "562-633-3067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 HALEDON AVE",
"city": "PROSPECT PARK",
"state": "NJ",
"postal_code": "075082024",
"telephone_number": "973-904-9611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALWAN",
"first_name": "DANIEL",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-11",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02857300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prospect Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.