Individual provider Active NPI

Abraham Wenger, DMD

  • General Practice Dentistry
  • Elizabeth, NJ
National Provider Identifier
1487693198
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI 23012185 Issued in NJ
Practice address
142 Palisade Rd
Suite 200
Elizabeth, NJ 07208-1104
Phone
(201) 798-5551
Fax
(201) 798-1171
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI 23012185 NJ Primary

Addresses

Primary practice location

142 Palisade Rd
Suite 200
Elizabeth, NJ 07208-1104

Mailing address

1341 North Ave
Apt 5-Ef
Elizabeth, NJ 07208-2622
Phone (908) 820-0194

Other identifiers 1

IdentifierTypeStateIssuer
0650501MedicaidNJ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250102003104 NJ Order and Referring Only - DentistPractitioner - Dentist 2264969229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI 23012185NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Hospital Opco LLC Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: abraham.wenger@direct.christhospital.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487693198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 NORTH AVE",
            "address_2": "APT 5-EF",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072082622",
            "telephone_number": "908-820-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 PALISADE RD",
            "address_2": "SUITE 200",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081104",
            "telephone_number": "201-798-5551",
            "fax_number": "201-798-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENGER",
        "first_name": "ABRAHAM",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI 23012185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0650501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.