Active NPI
Zahara Ayub, DDS
- Dentist
- Absecon, NJ
National Provider Identifier
1467072595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02854700
- Practice address
- 658 White Horse Pike
Absecon, NJ 08201-2302 - Phone
- (609) 677-5155
- NPI assigned
- Apr 18, 2020
- Last updated
- Nov 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02854700 | NJ | Primary |
Addresses
Primary practice location
658 White Horse Pike
Absecon, NJ 08201-2302
Mailing address
498A Genista Ave
Galloway, NJ 08205-4447
Phone (609) 576-0705
Other practice location 1
3003 English Creek Ave Ste D1
Egg Harbor Township, NJ 08234-4878
Phone (609) 484-5996
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02854700 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Absecon Family Dental | Dentist | Past | Accepting new patients |
| Egg Harbor Family Dental, PA | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Absecon, NJ
- NPI 1063498764
-
- Dentist
- Egg Harbor Township, NJ
- NPI 1104880863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1467072595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "498A GENISTA AVE",
"city": "GALLOWAY",
"state": "NJ",
"postal_code": "082054447",
"telephone_number": "609-576-0705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "658 WHITE HORSE PIKE",
"city": "ABSECON",
"state": "NJ",
"postal_code": "082012302",
"telephone_number": "609-677-5155"
}
],
"practiceLocations": [
{
"address_1": "3003 English Creek Ave Ste D1",
"address_purpose": "LOCATION",
"city": "Egg Harbor Township",
"state": "NJ",
"postal_code": "082344878",
"country_code": "US",
"telephone_number": "609-484-5996",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AYUB",
"first_name": "ZAHARA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-18",
"last_updated": "2021-11-11",
"certification_date": "2021-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02854700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Absecon, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.