Active NPI
Bassam Butto, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Kearny, NJ
National Provider Identifier
1467181123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 07653
- Practice address
- 242 Kearny Ave
Kearny, NJ 07032-2505 - Phone
- (201) 955-2500
- NPI assigned
- Jun 8, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 07653 | NJ | Primary |
| Dentist | 122300000X | 22DI02987000 | NJ |
Addresses
Primary practice location
242 Kearny Ave
Kearny, NJ 07032-2505
Mailing address
242 Kearny Ave
Kearny, NJ 07032-2505
Phone (201) 955-2500
Other names 1
- Bassam Farid
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 |
|---|---|---|---|
| 22DI02987000 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smile Central Dental Camden P.C. | Current | Accepting new patients | |
| Smile Central Orthodontics, P.C. | Current | Accepting new patients |
Locations
140 Market St
Fl 2
Paterson, NJ 07505
Phone (973) 742-4200
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 and National Provider Directory roles.
-
dba Silk City Dental
- General Practice Dentistry
- Paterson, NJ
- NPI 1467083576
-
- General Practice Dentistry
- Paterson, NJ
- NPI 1891478293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1467181123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 KEARNY AVE",
"city": "KEARNY",
"state": "NJ",
"postal_code": "070322505",
"telephone_number": "201-955-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 KEARNY AVE",
"city": "KEARNY",
"state": "NJ",
"postal_code": "070322505",
"telephone_number": "201-955-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTTO",
"first_name": "BASSAM",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-08",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NJ",
"license": "07653",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02987000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BASSAM",
"last_name": "FARID",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kearny, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.