Ramy Attalla, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI2741700 Issued in NJ

Practice address

296 Clifton Ave
Clifton, NJ 07011-2223

Phone

(973) 365-1267

NPI assigned

Jun 11, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dental House - Waterford, PLLC

  • Dentist
  • Waterford TWP, MI
  • NPI 1700418555
  NPD (past) Authorized official
• Dental House - West Bloomfield

  • Dental Clinic/Center
  • West Bloomfield, MI
  • NPI 1083312243
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576281600000",
    "number": "1538540901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 WASHTENAW AVE STE D",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112223",
            "telephone_number": "973-365-1267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 E US Highway 223",
            "address_purpose": "LOCATION",
            "city": "Adrian",
            "state": "MI",
            "postal_code": "492214456",
            "country_code": "US",
            "telephone_number": "517-263-7604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4860 Washtenaw Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481083401",
            "country_code": "US",
            "telephone_number": "804-539-6622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATTALLA",
        "first_name": "RAMY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2019-12-14",
        "certification_date": "2019-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021583",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI2741700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leena Atieh
• Atlas Chiropractic & Rehabilitation Center
• Atlas Chiropractic & Rehabilitation Center Limited Liability Company
• Atlas Rehabilitation Center LLC
• Monica Attalla
• Khaled M Attili, D.D.S.
• Nour Audi, DDS
• Audiology Hearing Solutions, Inc.
• Roli Aurora, OTR/L, CHT
• Allison Austin, ATC

• General Practice Dentistry in Clifton, NJ
• Providers in Clifton, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.