Joseph J Akkara, DDS
Individual provider Active NPI Dentist · Old Bridge, NJ
NPI 1275769804 · NPPES record last updated Nov 23, 2021
Key facts
- NPI
- 1275769804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 22DI02705500 (NJ)
- Practice address
- 400 Perrine Rd Ste 400a
Old Bridge, NJ 08857-2811 - Phone
- (732) 508-2294
- NPI assigned
- Jun 10, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02705500 | NJ | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02705500 | NJ | Yes |
Addresses
Primary practice location
400 Perrine Rd Ste 400a
Old Bridge, NJ 08857-2811
Mailing address
400 Perrine Rd Ste 400a
Old Bridge, NJ 08857-2811
Phone (732) 508-2294
Other providers in Old Bridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2021. 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.