Mouad M Gseir

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02792800 Issued in NJ

Practice address

542 New York Ave
Lyndhurst, NJ 07071-1532

Phone

(201) 623-3355

NPI assigned

Mar 2, 2019

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

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1551484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1487112033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 NEW YORK AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 NEW YORK AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711532",
            "telephone_number": "201-623-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GSEIR",
        "first_name": "MOUAD",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-02",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02792800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Shepard Adult Day Care LLC
• Good Shepherd DDD Services LLC
• Stanislav Goykhman, M.D
• Jianna Theresa Grasso
• Bridget May Greenwald
• Guardian Intraoperative Neuromomitoring
• Angela Gulla, LCSW
• Rhonda Ann Hagler, M.D.
• Robert J. Haley, D.C.
• Melissa Faye Handel

• General Practice Dentistry in Lyndhurst, NJ
• Providers in Lyndhurst, 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 Jan 20, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.