Individual provider Active NPI

Marco K Ashamalla, DMD

  • Dentist
  • Sayreville, NJ
National Provider Identifier
1336729938
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02845900 Issued in NJ
Practice address
190 Pulaski Ave
Sayreville, NJ 08872-1287
Phone
(732) 967-3814
NPI assigned
Apr 9, 2021
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02845900 NJ Primary

Addresses

Primary practice location

190 Pulaski Ave
Sayreville, NJ 08872-1287

Mailing address

190 Pulaski Ave
Sayreville, NJ 08872-1287
Phone (201) 515-7691

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
22DI02845900NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1336729938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 PULASKI AVE",
            "city": "SAYREVILLE",
            "state": "NJ",
            "postal_code": "088721287",
            "telephone_number": "201-515-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 PULASKI AVE",
            "city": "SAYREVILLE",
            "state": "NJ",
            "postal_code": "088721287",
            "telephone_number": "732-967-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHAMALLA",
        "first_name": "MARCO",
        "middle_name": "K",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-09",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02845900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayreville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.