Active NPI
Haim Tawil, DMD
- Dentist
- Teaneck, NJ
National Provider Identifier
1508212473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02621500
- Practice address
- 72 Walraven Dr
Apt 1a
Teaneck, NJ 07666-5122 - Phone
- (908) 433-3766
- NPI assigned
- May 10, 2016
- Last updated
- May 10, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02621500 | NJ | Primary |
Addresses
Primary practice location
72 Walraven Dr
Apt 1a
Teaneck, NJ 07666-5122
Mailing address
72 Walraven Dr
Apt 1a
Teaneck, NJ 07666-5122
Phone (908) 433-3766
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02621500 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462838400000",
"number": "1508212473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 WALRAVEN DR",
"address_2": "APT 1A",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076665122",
"telephone_number": "908-433-3766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 WALRAVEN DR",
"address_2": "APT 1A",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076665122",
"telephone_number": "908-433-3766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAWIL",
"first_name": "HAIM",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-10",
"last_updated": "2016-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02621500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.