Jay Saharat Nokkeo, DMD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

13271 Issued in MD

Practice address

507 N Frederick Ave
2ND Floor
Gaithersburg, MD 20877-2506

Phone

(301) 926-4800

Fax

(301) 926-4899

NPI assigned

Sep 8, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2021 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1649264466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N FREDERICK AVE",
            "address_2": "2ND FLOOR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772506",
            "telephone_number": "301-926-4800",
            "fax_number": "301-926-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N FREDERICK AVE",
            "address_2": "2ND FLOOR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772506",
            "telephone_number": "301-926-4800",
            "fax_number": "301-926-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOKKEO",
        "first_name": "JAY",
        "middle_name": "SAHARAT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "13271",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "DC",
            "license": "DEN6006",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MD",
            "license": "13271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Binta Njie
• Paul Anicet Njock
• Erin Nkele, LCPC, LPC
• Carine Tchuenkam Nkemanjong
• NN Homehealth Service LLC
• Valery Monzerrath Nolasco
• Haseeb Noor
• Imtiaz Noor, D.D.S.
• Tina Norishargh
• Maryam Norouzi, D.D.S.

• Oral & Maxillofacial Surgery (D.M.D.) in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.