Active NPI
Qudsia Husain, DDS
- Pediatric Dentistry
- Jersey City, NJ
National Provider Identifier
1265630446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 054231
- Practice address
- 45 River Dr S
Apt 2410
Jersey City, NJ 07310-1741 - Phone
- (571) 723-9992
- NPI assigned
- Jul 10, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 054231 | NY | Primary |
Addresses
Primary practice location
45 River Dr S
Apt 2410
Jersey City, NJ 07310-1741
Mailing address
45 River Dr S
Apt 2410
Jersey City, NJ 07310-1741
Phone (571) 723-9992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03208380 | Medicaid | NY |
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 |
|---|---|---|---|
| 054231 | NY | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1265630446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 RIVER DR S",
"address_2": "APT 2410",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073101741",
"telephone_number": "571-723-9992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 RIVER DR S",
"address_2": "APT 2410",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073101741",
"telephone_number": "571-723-9992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSAIN",
"first_name": "QUDSIA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "054231",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03208380",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.