Pardis Abdollahnejad, DMD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Newark, NJ
NPI 1649065137 · NPPES record last updated Jul 3, 2025
Key facts
- NPI
- 1649065137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- 22DI03103600 (NJ)
- Practice address
- 110 Bergen St
Newark, NJ 07103-2495 - Phone
- (973) 972-3126
- NPI assigned
- Apr 14, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI03103600 | NJ | MD | Student in an Organized Health Care Education/Training Program |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 22DI03103600 | NJ | Yes |
Addresses
Primary practice location
110 Bergen St
Newark, NJ 07103-2495
Mailing address
110 Bergen St
Newark, NJ 07103-2495
Other providers in Newark, NJ
- Andrew Abdelmalek
- Girom Abdelmesih
- Nehal Abdelmoneim
- Ahmed Abdelmonem
- Zuhdi Eugene Abdo
- Petal Abdool
- Saidah Abdul Wali
- Abdullah Abdul-Hakeem
- Mujahid Abdul-Hamid
- Aishat Abiola Abdul
All providers in Newark, NJ · Student in an Organized Health Care Education/Training Program in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.