Individual provider Active NPI

Adam Ohayon, DDS

  • Dentist
  • Teaneck, NJ
National Provider Identifier
1609216449
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DR02676 Issued in NJ
Practice address
72 Walraven Dr
Apt 1a
Teaneck, NJ 07666-5122
Phone
(201) 357-5409
NPI assigned
Jun 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DR02676 NJ Primary

Addresses

Primary practice location

72 Walraven Dr
Apt 1a
Teaneck, NJ 07666-5122

Mailing address

72 Walraven Dr
Apt 1a
Teaneck, NJ 07666-5122
Phone (201) 357-5409

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
DR02676NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1609216449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 WALRAVEN DR",
            "address_2": "APT 1A",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076665122",
            "telephone_number": "201-357-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 WALRAVEN DR",
            "address_2": "APT 1A",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076665122",
            "telephone_number": "201-357-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHAYON",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DR02676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.