Individual provider Active NPI

Ahmed Jaheen, DDS

  • Dentist
  • Hackensack, NJ
National Provider Identifier
1649335365
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02235100 Issued in NJ
Practice address
394 Main St
Hackensack, NJ 07601-5805
Phone
(201) 525-0067
Fax
(201) 525-0070
NPI assigned
Dec 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02235100 NJ Primary

Addresses

Primary practice location

394 Main St
Hackensack, NJ 07601-5805

Mailing address

394 Main St
Hackensack, NJ 07601-5805
Phone (201) 525-0067

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
22DI02235100NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649335365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015805",
            "telephone_number": "201-525-0067",
            "fax_number": "201-525-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015805",
            "telephone_number": "201-525-0067",
            "fax_number": "201-525-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHEEN",
        "first_name": "AHMED",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02235100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • 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.