Hasan Kaoutarani

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI03069400 Issued in NJ

Practice address

99 Conklintown Rd
Wanaque, NJ 07465-1606

Phone

(973) 839-0900

NPI assigned

Apr 15, 2024

Last updated

Oct 7, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1578317848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 ALBERTA DR",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CONKLINTOWN RD",
            "city": "WANAQUE",
            "state": "NJ",
            "postal_code": "074651606",
            "telephone_number": "973-839-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAOUTARANI",
        "first_name": "HASAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-15",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI03069400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fordham-Lewis Consulting, LLC
• John Michael Freiler, DDS
• Judy Golzio, BCBA
• Erica Susan Goodman, RN
• In Network Dental, LLC (In Network Dental)
• Andrew Kunish Jr., MD
• Lakeland Regional High School
• Kendall Paige Lomascola
• Kristen Ann Milazzo
• Katherine Elizabeth Moore, BCBA

• General Practice Dentistry in Wanaque, NJ
• Providers in Wanaque, 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 Oct 7, 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.