Individual provider Active NPI

Rambod Abedini, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Wilmington, DE
National Provider Identifier
1437500592
Registry record updated Jun 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
G1-0001414 Issued in DE
Practice address
1601 Milltown Rd Ste 17
Wilmington, DE 19808-4084
Phone
(302) 995-1870
NPI assigned
Jun 29, 2016
Last updated
Jun 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X G1-0001414 DE Primary

Addresses

Primary practice location

1601 Milltown Rd Ste 17
Wilmington, DE 19808-4084

Mailing address

1734 Pine St
Apt 1F
Philadelphia, PA 19103-6784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20170622001510 DE Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3375811912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Abedini Surgical Group LLC Oral & Maxillofacial Surgery Current Accepting new patients
Peter F. Subach DMD,PA CurrentSince Jun 11, 2023 Accepting new patients
Lawrence S. Giordano, DDS, PA PastSince Jun 11, 2023 Accepting new patients

Locations

1601 Milltown Rd
Ste 17
Wilmington, DE 19808
Phone (302) 995-1870

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685836800000",
    "number": "1437500592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 PINE ST",
            "address_2": "APT 1F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MILLTOWN RD STE 17",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084084",
            "telephone_number": "302-995-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEDINI",
        "first_name": "RAMBOD",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-29",
        "last_updated": "2023-06-04",
        "certification_date": "2023-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "DE",
            "license": "G1-0001414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.