Active NPI
Ali Sajjad Paracha
- Dentist
- Newark, NJ
National Provider Identifier
1255009361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401417713
- Practice address
- 24 Jones St Apt 427
Newark, NJ 07103-3844 - Phone
- (917) 689-2525
- NPI assigned
- Sep 2, 2021
- Last updated
- Sep 20, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 0401417713 | VA | Primary |
Addresses
Primary practice location
24 Jones St Apt 427
Newark, NJ 07103-3844
Mailing address
24 Jones St Apt 427
Newark, NJ 07103-3844
Phone (917) 689-2525
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 |
|---|---|---|---|
| 0401417713 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dedicated Smiles PLLC | Dentist | Current | Accepting new patients |
Locations
11 Hope Rd
Ste 201
Stafford, VA 22554
Phone (540) 318-8691
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": "1630540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1255009361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 JONES ST APT 427",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071033844",
"telephone_number": "917-689-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 JONES ST APT 427",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071033844",
"telephone_number": "917-689-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARACHA",
"first_name": "ALI",
"middle_name": "SAJJAD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-02",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401417713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.