Kerolos Nayrouz, DMD
Individual provider Active NPI General Practice Dentistry · Ewing, NJ
NPI 1235869652 · NPPES record last updated Nov 28, 2023
Key facts
- NPI
- 1235869652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 22DI02906900 (NJ)
- Practice address
- 21 Scotch Rd
Ewing, NJ 08628-2512 - Phone
- (609) 435-3208
- NPI assigned
- Jun 16, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02906900 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genuine Smiles PA | General Practice | Past |
Accepting new patients |
| Genuine Dental Management LLC | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02906900 | NJ | Yes |
Addresses
Primary practice location
21 Scotch Rd
Ewing, NJ 08628-2512
Mailing address
2614 Fox Run Dr
Plainsboro, NJ 08536-2705
Phone (917) 588-3891
Other providers in Ewing, NJ
- Nathalie Edmond, LLC
- National Mentor Healthcare, LLC
- National Mentor Healthcare, LLC
- National Vision Inc
- Diane J Navarro
- Priscilla Ndulue
- Quashanna Nelson
- Michael Nessim
- Kalyn Nevitt
- New Jersey CVS Pharmacy LLC
All providers in Ewing, 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 Nov 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.