Samuel Meghadri, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI21258 Issued in NJ

Practice address

7 E Washington Ave
Washington, NJ 07882-1912

Phone

(908) 835-0800

Fax

(908) 835-8952

NPI assigned

Jul 18, 2006

Last updated

Jul 9, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Washington Family Dentistry LLC

  • General Practice Dentistry
  • Washington, NJ
  • NPI 1538187141
  NPD (past) Authorized official

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1659399277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 E WASHINGTON AVE",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078821912",
            "telephone_number": "908-835-0800",
            "fax_number": "908-835-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 E WASHINGTON AVE",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078821912",
            "telephone_number": "908-835-0800",
            "fax_number": "908-835-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGHADRI",
        "first_name": "SAMUEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI21258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9050809",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zaida R Mayes, LIC P.T.
• McCleery Family Vision Care LLC
• Richard Kevin McDonnell, LCSW
• Cynthia Marie McGaha
• Thomas M McGrath, ACSW,LCSW, LMFT, PHD
• Raymond J Mero, DO
• Melissa J Meyer, MA LPC
• Rick Michael, B.A.
• Tara Kortney Miller Johnson
• Austin James Mishko, DPM

• General Practice Dentistry in Washington, NJ
• Providers in Washington, 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 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.