Individual provider Active NPI

Abiola A. Sadiq, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Eatontown, NJ
National Provider Identifier
1588827596
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
054754 Issued in DC
Practice address
37 Highway 35 Ste 6
Eatontown, NJ 07724-3493
Phone
(732) 544-9101
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X P65010 NY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 054754 DC Primary

Addresses

Primary practice location

37 Highway 35 Ste 6
Eatontown, NJ 07724-3493

Mailing address

37 Highway 35 Ste 6
Eatontown, NJ 07724-3493
Phone (732) 544-9101

Other practice location 1

1770 Grand Concourse
2F
Bronx, NY 10457-5524
Phone (718) 901-8110

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
P65010NYMDGeneral Practice Dentistry
054754DCMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1588827596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 HIGHWAY 35 STE 6",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243493",
            "telephone_number": "732-544-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 HIGHWAY 35 STE 6",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243493",
            "telephone_number": "732-544-9101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1770 Grand Concourse",
            "address_2": "2F",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104575524",
            "country_code": "US",
            "telephone_number": "718-901-8110",
            "fax_number": "718-901-8121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADIQ",
        "first_name": "ABIOLA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "P65010",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "DC",
            "license": "054754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.