Individual provider Active NPI

Jafer Sadiq Hasani, DDS

  • General Practice Dentistry
  • Mount Laurel, NJ
National Provider Identifier
1609551399
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02976900 Issued in NJ
Practice address
301 Fellowship Rd
Mount Laurel, NJ 08054-1214
Phone
(856) 222-1100
NPI assigned
Jun 20, 2023
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02976900 NJ Primary

Addresses

Primary practice location

301 Fellowship Rd
Mount Laurel, NJ 08054-1214

Mailing address

14 Peacock PL
Howell, NJ 07731-2013
Phone (848) 299-9045

Other practice location 1

224 Washington St
Toms River, NJ 08753-7566
Phone (732) 349-4040

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
22DI02976900NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Chester C Chianese DDS LLC General Practice Past Accepting new patients
Pleasant Valley Family Dentistry PA PastSince Jun 25, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1609551399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PEACOCK PL",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077312013",
            "telephone_number": "848-299-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 FELLOWSHIP RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541214",
            "telephone_number": "856-222-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 Washington St",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087537566",
            "country_code": "US",
            "telephone_number": "732-349-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASANI",
        "first_name": "JAFER",
        "middle_name": "SADIQ",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02976900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.