Individual provider Active NPI

Murtuza Jaffari, DDS

  • General Practice Dentistry
  • Philadelphia, PA
National Provider Identifier
1316247497
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02454700 Issued in NJ
Practice address
992 N 2ND St
Philadelphia, PA 19123
Phone
(855) 995-8326
Fax
(267) 457-3312
NPI assigned
Oct 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS038503 PA
General Practice Dentistry 1223G0001X 22DI02454700 NJ Primary

Addresses

Primary practice location

992 N 2ND St
Philadelphia, PA 19123

Mailing address

719 Summer Dr
Attn: Murtuza Jaffari DDS
Manalapan, NJ 07726-8880
Phone (732) 567-7938

Other practice location 1

300 Lexington Rd Ste 220
Swedesboro, NJ 08085-1278
Phone (855) 995-8326

Other identifiers 1

IdentifierTypeStateIssuer
D09753500OtherNJSTATE OF NEW JERSEY- CONTROLLED DANGEROUS SUBSTANCES

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

LicenseStateTypeSpecialty
22DI02454700NJMDGeneral Practice Dentistry
DS038503PAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1287792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1316247497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 SUMMER DR",
            "address_2": "ATTN: MURTUZA JAFFARI DDS",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268880",
            "telephone_number": "732-567-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 N 2ND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19123",
            "telephone_number": "855-995-8326",
            "fax_number": "267-457-3312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Lexington Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Swedesboro",
            "state": "NJ",
            "postal_code": "080851278",
            "country_code": "US",
            "telephone_number": "855-995-8326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAFFARI",
        "first_name": "MURTUZA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-23",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038503",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02454700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEW JERSEY- CONTROLLED DANGEROUS SUBSTANCES",
            "identifier": "D09753500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.