Active NPI
Madlen Raed Tommalieh, DMD
- Dentist
- Haledon, NJ
National Provider Identifier
1538080288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI03162500
- Practice address
- 397 Haledon Ave
Haledon, NJ 07508-1551 - Phone
- (973) 904-9611
- NPI assigned
- Jul 21, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 22DI03162500 | NJ | Primary |
Addresses
Primary practice location
397 Haledon Ave
Haledon, NJ 07508-1551
Mailing address
93 Palisade Ave Apt 2C
Cliffside Park, NJ 07010-2043
Phone (201) 375-7888
Other practice location 1
142 Totowa Rd Ste 7
Totowa, NJ 07512-2747
Phone (973) 720-0621
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1538080288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 PALISADE AVE APT 2C",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070102043",
"telephone_number": "201-375-7888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "397 HALEDON AVE",
"city": "HALEDON",
"state": "NJ",
"postal_code": "075081551",
"telephone_number": "973-904-9611"
}
],
"practiceLocations": [
{
"address_1": "142 Totowa Rd Ste 7",
"address_purpose": "LOCATION",
"city": "Totowa",
"state": "NJ",
"postal_code": "075122747",
"country_code": "US",
"telephone_number": "973-720-0621",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOMMALIEH",
"first_name": "MADLEN",
"middle_name": "RAED",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-21",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI03162500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haledon, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.