Wael M Kassem, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02376800 Issued in NJ

Practice address

400 Ganttown Rd
Sewell, NJ 08080-1862

Phone

(856) 582-7272

NPI assigned

Dec 21, 2008

Last updated

Dec 24, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1229817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230076800000",
    "number": "1477799476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MULLEN DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "08081",
            "telephone_number": "856-582-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GANTTOWN RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801862",
            "telephone_number": "856-582-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSEM",
        "first_name": "WAEL",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-21",
        "last_updated": "2008-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02376800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Kaminski, RDN
• Michelle Christine Kane, D.O.
• Sabrina Kane, LSW
• Felice Karetny, OTR
• Kevin J Kargman, D.O.
• Kevin James Kastrava Jr.
• Sarah Kearney, DPT
• Michael K Keene Sr., D.MIN
• Ashley Kendra, FNP-C
• Kennedy Behavorial Health

• General Practice Dentistry in Sewell, NJ
• Providers in Sewell, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2008; 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.