Individual provider Active NPI

Ghulam Sheraz, DMD

  • Dentist
  • Jersey City, NJ
National Provider Identifier
1326363474
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1855339 Issued in MA
Practice address
6 Fox PL
Jersey City, NJ 07306-6404
Phone
(215) 908-9106
NPI assigned
Apr 1, 2010
Last updated
Apr 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1855339 MA Primary

Addresses

Primary practice location

6 Fox PL
Jersey City, NJ 07306-6404

Mailing address

6 Fox PL
Jersey City, NJ 07306-6404
Phone (215) 908-9106

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
DN1855339MAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1326363474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FOX PL",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073066404",
            "telephone_number": "215-908-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FOX PL",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073066404",
            "telephone_number": "215-908-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERAZ",
        "first_name": "GHULAM",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855339",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 1, 2010; 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.