Active NPI
Jennifer Marie Akkaway, DDS
- Pediatric Dentistry
- Englewood, NJ
National Provider Identifier
1508054164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 052003
- Practice address
- 370 Grand Avenue
Suite 200
Englewood, NJ 07631 - Phone
- (201) 871-3555
- Fax
- (201) 871-9096
- NPI assigned
- Oct 9, 2007
- Last updated
- Jun 10, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 052003 | NY | Primary |
Addresses
Primary practice location
370 Grand Avenue
Suite 200
Englewood, NJ 07631
Mailing address
370 Grand Avenue
Suite 200
Englewood, NJ 07631
Phone (201) 871-3555
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Englewood Dental, PA | Past | Accepting new patients | |
| Englewood Dental, PA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Englewood, NJ
- NPI 1417017146
-
- General Practice Dentistry
- Englewood, NJ
- NPI 1891715330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1508054164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 GRAND AVENUE",
"address_2": "SUITE 200",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "07631",
"telephone_number": "201-871-3555",
"fax_number": "201-871-9096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 GRAND AVENUE",
"address_2": "SUITE 200",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "07631",
"telephone_number": "201-871-3555",
"fax_number": "201-871-9096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKKAWAY",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "052003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.