Individual provider Active NPI

Asad Syed Sadiq, DMD

  • General Practice Dentistry
  • Browns Mills, NJ
National Provider Identifier
1497774681
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13540 Issued in NJ
Practice address
77 Juliustown Road
Browns Mills, NJ 08015
Phone
(609) 893-5200
Fax
(609) 893-7271
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2017

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 13540 NJ Primary

Addresses

Primary practice location

77 Juliustown Road
Browns Mills, NJ 08015

Mailing address

PO Box 661
Browns Mills, NJ 08015
Phone (609) 893-5200

Other identifiers 1

IdentifierTypeStateIssuer
22-3010840MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13540NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Asad S. Sadiq DMD PA General Practice Past Accepting new patients

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1497774681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661",
            "city": "BROWNS MILLS",
            "state": "NJ",
            "postal_code": "08015",
            "telephone_number": "609-893-5200",
            "fax_number": "609-893-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 JULIUSTOWN ROAD",
            "city": "BROWNS MILLS",
            "state": "NJ",
            "postal_code": "08015",
            "telephone_number": "609-893-5200",
            "fax_number": "609-893-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADIQ",
        "first_name": "ASAD",
        "middle_name": "SYED",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "13540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22-3010840",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Browns Mills, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.