Marco K Ashamalla, DMD
Individual provider Active NPI Dentist · Sayreville, NJ
NPI 1336729938 · NPPES record last updated Jan 13, 2026
Key facts
- NPI
- 1336729938
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 22DI02845900 (NJ)
- Practice address
- 190 Pulaski Ave
Sayreville, NJ 08872-1287 - Phone
- (732) 967-3814
- NPI assigned
- Apr 9, 2021
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02845900 | NJ | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02845900 | NJ | Yes |
Addresses
Primary practice location
190 Pulaski Ave
Sayreville, NJ 08872-1287
Mailing address
190 Pulaski Ave
Sayreville, NJ 08872-1287
Phone (201) 515-7691
Other providers in Sayreville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2026. 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.