Wassim Alwan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02293700 Issued in NJ

Practice address

222 Haledon Ave
Prospect Park, NJ 07508-2024

Phone

(973) 904-9611

Fax

(973) 904-0857

NPI assigned

Jun 4, 2007

Last updated

Jul 8, 2007By 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

State licenses

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619179595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 OLDHAM RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702202",
            "telephone_number": "973-341-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 HALEDON AVE",
            "city": "PROSPECT PARK",
            "state": "NJ",
            "postal_code": "075082024",
            "telephone_number": "973-904-9611",
            "fax_number": "973-904-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALWAN",
        "first_name": "WASSIM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02293700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Adam Alwan, DDS
• Khaled Y Alwan, DDS
• Deborah Jean Ankelein, B.A.,M.S., ATC
• Aries Opportunities LLC
• Auxiliary Home Care
• Eyad Y Baghal, M.D.
• Mariam Beshara, DMD

• General Practice Dentistry in Prospect Park, NJ
• Providers in Prospect Park, 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 Jul 8, 2007; 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.