Individual provider Active NPI

Mohammad Albondogji

  • General Practice Dentistry
  • Lake Hopatcong, NJ
National Provider Identifier
1639090442
Registry record updated Jul 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI03165000 Issued in NJ
Practice address
28 Bowling Green Pkwy Ste 2B
Lake Hopatcong, NJ 07849-2445
Phone
(908) 434-8510
NPI assigned
Jul 25, 2026
Last updated
Jul 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2026

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 22DI03165000 NJ Primary

Addresses

Primary practice location

28 Bowling Green Pkwy Ste 2B
Lake Hopatcong, NJ 07849-2445

Mailing address

11 Paterson Ave
Haledon, NJ 07508-1019
Phone (862) 220-3442

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

NPI Registry JSON

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

{
    "created_epoch": "1784937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784937600000",
    "number": "1639090442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PATERSON AVE",
            "city": "HALEDON",
            "state": "NJ",
            "postal_code": "075081019",
            "telephone_number": "862-220-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 BOWLING GREEN PKWY STE 2B",
            "city": "LAKE HOPATCONG",
            "state": "NJ",
            "postal_code": "078492445",
            "telephone_number": "908-434-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBONDOGJI",
        "first_name": "MOHAMMAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-25",
        "last_updated": "2026-07-25",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI03165000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Hopatcong, NJ

Sources for this page

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