Sama Abuelenin, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02810100 Issued in NJ

Practice address

2909 Washington Rd
Parlin, NJ 08859-1513

Phone

(732) 707-6654

NPI assigned

Sep 15, 2020

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1376158352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 REBEL RUN DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162638",
            "telephone_number": "347-286-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 WASHINGTON RD",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591513",
            "telephone_number": "732-707-6654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 Saint Georges Ave",
            "address_purpose": "LOCATION",
            "city": "Avenel",
            "state": "NJ",
            "postal_code": "070011390",
            "country_code": "US",
            "telephone_number": "848-999-4835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABUELENIN",
        "first_name": "SAMA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02810100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Parlin, NJ
• Providers in Parlin, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.