Individual provider Active NPI

Nisrine Ouhame, DDS

  • General Practice Dentistry
  • Secaucus, NJ
National Provider Identifier
1417402579
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI02644700 Issued in NJ
Practice address
45 Meadowlands Pkwy Unit 301
Secaucus, NJ 07094-2971
Phone
(973) 689-5687
NPI assigned
Aug 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI02644700 NJ Primary

Addresses

Primary practice location

45 Meadowlands Pkwy Unit 301
Secaucus, NJ 07094-2971

Mailing address

45 Meadowlands Pkwy Unit 301
Secaucus, NJ 07094-2971
Phone (973) 689-5687

Other identifiers 1

IdentifierTypeStateIssuer
270804390MedicaidNJ

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
DI02644700NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1417402579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MEADOWLANDS PKWY UNIT 301",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942971",
            "telephone_number": "973-689-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MEADOWLANDS PKWY UNIT 301",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942971",
            "telephone_number": "973-689-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUHAME",
        "first_name": "NISRINE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI02644700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270804390",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Secaucus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.