Individual provider Active NPI

Farida Fanuswala, D.D.S

  • Dentist
  • North Brunswick, NJ
National Provider Identifier
1255717583
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02613500 Issued in NJ
Practice address
2000 State Hwy No 27
North Brunswick, NJ 08902-0890
Phone
(732) 666-2682
NPI assigned
Aug 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02613500 NJ Primary

Addresses

Primary practice location

2000 State Hwy No 27
North Brunswick, NJ 08902-0890

Mailing address

102 Carriage TRL
Belle Mead, NJ 08502-4910
Phone (732) 666-2682

Other practice location 1

795 Parkway Ave Ste A5
Ewing, NJ 08618-2704
Phone (609) 771-0032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151013000472 NJ Order and Referring Only - DentistPractitioner - Dentist 2264741321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02613500NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Always Smile Dental Care CurrentSince Mar 11, 2025 Accepting new patients
Apex Dental Care, LLC PastSince Dec 1, 2024 Accepting new patients
Dental Health Associates PA Past Accepting new patients

Locations

200 Metroplex Dr
Edison, NJ 08817
Phone (732) 235-4351

2000 State Route 27
North Brunswick, NJ 08902
Phone (585) 576-0335

2600 US Route 1
North Brunswick, NJ 08902
Phone (732) 444-2000

69 1st Ave
Raritan, NJ 08869
Phone (800) 631-5250

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1255717583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CARRIAGE TRL",
            "city": "BELLE MEAD",
            "state": "NJ",
            "postal_code": "085024910",
            "telephone_number": "732-666-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 STATE HWY NO 27",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089020890",
            "telephone_number": "732-666-2682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "795 Parkway Ave Ste A5",
            "address_purpose": "LOCATION",
            "city": "Ewing",
            "state": "NJ",
            "postal_code": "086182704",
            "country_code": "US",
            "telephone_number": "609-771-0032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANUSWALA",
        "first_name": "FARIDA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02613500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.