Michael Nessim, DMD
Individual provider Active NPI Dentist · Ewing, NJ
NPI 1528291085 · NPPES record last updated Sep 1, 2009
Key facts
- NPI
- 1528291085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 22DI02416100 (NJ)
- Practice address
- 1740 N Olden Ave
Ewing, NJ 08638-3110 - Phone
- (609) 844-1222
- NPI assigned
- Sep 1, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02416100 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ac Dental of Ewing NJ, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02416100 | NJ | Yes |
Addresses
Primary practice location
1740 N Olden Ave
Ewing, NJ 08638-3110
Mailing address
1740 N Olden Ave
Ewing, NJ 08638-3110
Phone (609) 844-1222
Other providers in Ewing, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.