Andleeb Shabahat, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02429300 Issued in NJ

Practice address

2 S Main St Ste 2
Lodi, NJ 07644-2228

Phone

(973) 779-4088

Fax

(973) 778-2265

NPI assigned

Nov 28, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Locations

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.

• Andleeb Shabahat DDS LLC

  • Dental Clinic/Center
  • Lodi, NJ
  • NPI 1417811308
  NPD Authorized official
• Dental Arts of Woodbridge LLP

  • Dentist
  • Woodbridge, NJ
  • NPI 1760493142
  NPD (past)

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

{
    "created_epoch": "1259366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768608000000",
    "number": "1659609865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 GEORGE ST",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076665355",
            "telephone_number": "201-881-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 S MAIN ST STE 2",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076442228",
            "telephone_number": "973-779-4088",
            "fax_number": "973-778-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABAHAT",
        "first_name": "ANDLEEB",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-28",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02429300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savia Community Counseling Services, LLC
• Scott a. Goler, DPM, PC
• Senior Care Dental
• Serenity Diagnostic
• Jacqueline Gomes Sgherza, RDN, MBA
• Erina Jinhee Shim
• Robert A Siconolfi, D.C.
• Sleep Better Solution LLC
• Shellecia Smith
• Terrence Victor Snell

• General Practice Dentistry in Lodi, NJ
• Providers in Lodi, 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 Jan 17, 2026; 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.