Manalapan Dental Spa LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MANALAPAN DENTAL SPA LLC

Practice address

24 Plaza 9
Manalapan, NJ 07726-3038

Phone

(732) 431-2622

NPI assigned

Jun 9, 2023

Organization subpart

No

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

Authorized official

Name

Khaled G Eldin, DDS

Title

DDS/Owner

Phone

(732) 431-2622

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1497439608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PLAZA 9",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263038",
            "telephone_number": "732-431-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 PLAZA 9",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263038",
            "telephone_number": "732-431-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANALAPAN DENTAL SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "ELDIN",
        "authorized_official_first_name": "KHALED",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "732-431-2622",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard Thomas Malik III, MAC, L.AC
• Lisa Nicole Malkiewich, DDS
• John Sami Mamoun, D.M.D., F.A.G.D.
• Manalapan Anesthesia and Pain Management LLC
• Manalapan Chiropractic Center
• Manalapan Family Dental, LLC
• Manalapan Foot and Ankle LLC
• Manalapan Health Department
• Manalapan Marlboro Rehabilitation
• Manalapan Medical Associates PC

• Dentist in Manalapan, NJ
• Providers in Manalapan, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.