Maryam Jahansouz, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21766 Issued in NJ

Practice address

265 Cedar LN Ste 203
Teaneck, NJ 07666-3444

Phone

(201) 488-1164

Fax

(201) 488-1137

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Sunflower Dental Group of Westwood PC

  • General Practice Dentistry
  • Westwood, NJ
  • NPI 1023839206
  NPD Authorized official
• Sunflower Dental Group PC

  • General Practice Dentistry
  • Teaneck, NJ
  • NPI 1407677685
  NPD Authorized official
• Sunflower Dental Group of Westwood PC

  • General Practice Dentistry
  • Westwood, NJ
  • NPI 1063331031
  NPD (past) Authorized official

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1366509010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 SAND RD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752419",
            "telephone_number": "201-965-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 CEDAR LN STE 203",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663444",
            "telephone_number": "201-488-1164",
            "fax_number": "201-488-1137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 Kinderkamack Rd Unit C",
            "address_purpose": "LOCATION",
            "city": "Westwood",
            "state": "NJ",
            "postal_code": "076751635",
            "country_code": "US",
            "telephone_number": "201-497-6532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAHANSOUZ",
        "first_name": "MARYAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "21766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah S Jacobs-El
• Brett Jacobs
• Ellis Jacobs, PHD
• David P Jacobson, DDS
• Aasavari Jagtap, CNIM
• Reva Jain, PA-C
• Dhanya James, DROT, OTR/L
• Tony James, DDS
• Japanese Women'S Center
• Giannil Jaramillo, LCSW

• General Practice Dentistry in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.