Mina Farid

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02757400 Issued in NJ

Practice address

12 Yucca Dr
Staten Island, NY 10312-1634

Phone

(646) 251-8337

NPI assigned

Mar 31, 2018

Last updated

Oct 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• GM Dental, PC

  dba Ghina C. Maliha, D.M.D.

  • General Practice Dentistry
  • Moorestown, NJ
  • NPI 1588602635
  NPD (past)

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

{
    "created_epoch": "1522454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1356847297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N WASHINGTON AVE STE W102",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572450",
            "telephone_number": "856-222-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 YUCCA DR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103121634",
            "telephone_number": "646-251-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARID",
        "first_name": "MINA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-31",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "060874-01",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02757400",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Husam Farhoud, PHARMD
• Ayman E. Farid, MD
• Erini Farid, DDS
• Karen J. Farid, DNP NURSINGDOCTORATE
• Mark Basil Farid, CERTIFIED PEDORTHIS
• Osama Farid, PA
• Crystal Josephine Farinha, PA-C
• Shira Farkas
• Veronica Farley, FNP
• Courtney Farmer, RPH

• Dentist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.