Sara Elnaz Barazesh, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02872200 Issued in NJ

Practice address

132 Forest St Apt 1
Montclair, NJ 07042-3806

Phone

(908) 500-4921

NPI assigned

Feb 27, 2021

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Barazesh Illiano Dental Partnership

  • Dental Clinic/Center
  • Bedminster, NJ
  • NPI 1740015874
  NPD Authorized official

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

{
    "created_epoch": "1614384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1568056760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 FOREST ST APT 1",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423806",
            "telephone_number": "908-500-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 FOREST ST APT 1",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423806",
            "telephone_number": "908-500-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAZESH",
        "first_name": "SARA",
        "middle_name": "ELNAZ",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-27",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02872200",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pooja Bakri, LCAT, ATR-BC
• Nashanda Balogun, AGPCNP
• Julie Elizabeth Balzano, PH.D.
• Bandfish Emergency Physicians LLC
• Margaret A Banitch, DC
• Joseph Barbagallo, MD
• Ashley Barbosa, MA, LAC, CCS
• Frank Barnes Jr., O.D.
• Annie Olivia Barnett, MSOT, OTR
• Gary Alan Barr, MD

• Dentist in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.