Danish Qadri, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02351300 Issued in NJ

Practice address

296 Lake Ave
Colonia, NJ 07067-1201

Phone

(732) 388-2822

Fax

(732) 388-3115

NPI assigned

Sep 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Lake Family Dentistry PC

  • Dental Clinic/Center
  • Colonia, NJ
  • NPI 1275804312
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1376739045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 LAKE AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070671201",
            "telephone_number": "732-388-2822",
            "fax_number": "732-388-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 LAKE AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070671201",
            "telephone_number": "732-388-2822",
            "fax_number": "732-388-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QADRI",
        "first_name": "DANISH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-17",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02351300",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8948",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054168",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02351300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giuseppe Pedulla
• Personalized Dental Care, P.C.
• Nahomie Possible, OD
• Pramukhashish, LLC
• Katrina Presler
• Adhara Mae V Ramirez, P.T.
• John George Rassias Jr., D.M.D
• Jeannine Marie Remcnamara, RD
• Lea B Dela Cruz Richards, ACNP-C
• Tanesha Robinson

• General Practice Dentistry in Colonia, NJ
• Providers in Colonia, 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 Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.