Kerolos Nayrouz, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02906900 Issued in NJ

Practice address

21 Scotch Rd
Ewing, NJ 08628-2512

Phone

(609) 435-3208

NPI assigned

Jun 16, 2022

Last updated

Nov 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Genuine Dental Management LLC

  • General Practice Dentistry
  • Livingston, NJ
  • NPI 1295560829
  NPD (past)
• Genuine Smiles PA

  • General Practice Dentistry
  • Livingston, NJ
  • NPI 1437968690
  NPD (past)

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1235869652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 FOX RUN DR",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085362705",
            "telephone_number": "917-588-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SCOTCH RD",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086282512",
            "telephone_number": "609-435-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYROUZ",
        "first_name": "KEROLOS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-16",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02906900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathalie Edmond, LLC (Mindful and Multicultural Counseling)
• National Mentor Healthcare, LLC (New Jersey MENTOR)
• National Mentor Healthcare, LLC (New Jersey MENTOR)
• National Vision Inc (America's Best Contacts & Eyeglasses)
• Diane J Navarro, D.C.
• Priscilla Ndulue
• Quashanna Nelson
• Michael Nessim, DMD
• Kalyn Nevitt
• New Jersey CVS Pharmacy LLC (CVS Pharmacy 06900)

• General Practice Dentistry in Ewing, NJ
• Providers in Ewing, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.