Organization Active NPI

Andleeb Shabahat DDS LLC

Doing business as Lodi Family Dentistry

  • Dental Clinic/Center
  • Lodi, NJ
National Provider Identifier
1417811308
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ANDLEEB SHABAHAT DDS LLC
Doing business as
Lodi Family Dentistry
Practice address
2 S Main St Ste 2
Lodi, NJ 07644-2228
Phone
(973) 779-4088
NPI assigned
Dec 15, 2025
Last updated
Dec 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Dr. Andleeb Shabahat, DDSNPI 1659609865
Title
Dentist
Phone
(201) 881-6622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

2 S Main St Ste 2
Lodi, NJ 07644-2228

Mailing address

2 S Main St Ste 2
Lodi, NJ 07644-2228
Phone (973) 779-4088

Other names 1

  • Lodi Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2 S Main St
Ste 2
Lodi, NJ 07644
Phone (973) 779-4088

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1417811308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 S MAIN ST STE 2",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076442228",
            "telephone_number": "973-779-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 S MAIN ST STE 2",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076442228",
            "telephone_number": "973-779-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDLEEB SHABAHAT DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "SHABAHAT",
        "authorized_official_first_name": "ANDLEEB",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "201-881-6622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lodi Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lodi, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.