John Saraydarian, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21739 Issued in NJ

Practice address

42 W Allendale Ave
Allendale, NJ 07401-1739

Phone

(201) 760-1116

Fax

(201) 760-1134

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

Yes

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.

• Allendale Dental PC

  • General Practice Dentistry
  • Allendale, NJ
  • NPI 1104749324

  General Practice

  NPD (past) Authorized official
• Luisa Milo DDS LLC

  • Dentist
  • Allendale, NJ
  • NPI 1275620213
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 9, 2015 through Dec 9, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477569697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 W ALLENDALE AVE",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074011739",
            "telephone_number": "201-760-1116",
            "fax_number": "201-760-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 W ALLENDALE AVE",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074011739",
            "telephone_number": "201-760-1116",
            "fax_number": "201-760-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARAYDARIAN",
        "first_name": "JOHN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "21739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Roy
• Maryam Safai, D.D.S
• Janet Salerno
• Yasoda Sannala, RPH
• Mary A Santiago, LCSW
• Patricia L Saul, M.S.W. PHD LCSW
• Jessica Schaffer
• Carrie Ellen Schroeder
• Brooke Schubert, OTR/L
• Seasons of Life Therapy, LLC

• All providers in Allendale, NJ
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.