Individual provider Active NPI

Mark A. Nasr, D.D.S.

  • Dentist
  • West Long Branch, NJ
National Provider Identifier
1558055061
Registry record updated Jan 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00000000000000000000 Issued in NJ
Practice address
108 Locust Ave
West Long Branch, NJ 07764-1658
Phone
(732) 222-4357
NPI assigned
Jun 7, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 00000000000000000000 NJ Primary

Addresses

Primary practice location

108 Locust Ave
West Long Branch, NJ 07764-1658

Mailing address

108 Locust Ave
West Long Branch, NJ 07764-1658
Phone (646) 464-2697

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

LicenseStateTypeSpecialty
00000000000000000000NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark a. Nasr DDS LLC Dentist CurrentSince Jan 4, 2026 Accepting new patients
Nasr Dental LLC Dentist PastSince Jun 11, 2023 Accepting new patients

Locations

108 Locust Ave
West Long Branch, NJ 07764
Phone (732) 222-4357

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767225600000",
    "number": "1558055061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LOCUST AVE",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641658",
            "telephone_number": "646-464-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LOCUST AVE",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641658",
            "telephone_number": "732-222-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASR",
        "first_name": "MARK",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-07",
        "last_updated": "2026-01-01",
        "certification_date": "2026-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "00000000000000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.

Verify at the official NPI Registry.