Individual provider Active NPI

Imad Tamimi, D.M.D

  • Oral and Maxillofacial Surgery (Dentist)
  • Clifton, NJ
National Provider Identifier
1659669091
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
22DI01875000 Issued in NJ
Practice address
1054 Clifton Ave
Clifton, NJ 07013-3638
Phone
(973) 625-4048
Fax
(973) 625-1984
NPI assigned
Jul 19, 2011
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 22DI01875000 NJ Primary

Addresses

Primary practice location

1054 Clifton Ave
Clifton, NJ 07013-3638

Mailing address

1054 Clifton Ave
Clifton, NJ 07013-3638
Phone (973) 625-4048

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110912000111 NJ Practitioner - Oral Surgery 0042116618 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1054 Clifton Ave
Clifton, NJ 07013-3638
Phone (973) 625-4048

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Oral & Maxillofacial Surgery Oral and Maxillofacial Surgery CurrentSince Feb 18, 2015 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Mar 20, 2024 Accepting new patients
Rutgers Health -University Dental Associates Oral and Maxillofacial Surgery CurrentSince Oct 16, 2021 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Mar 20, 2024 Accepting new patients
Minimally Invasive and Regenerative Spine Institute Past Accepting new patients
Barnabas Health Medical Group, PC Past Accepting new patients
Alliance Oral Surgery Oral and Maxillofacial Surgery Past Accepting new patients

Locations

1054 Clifton Ave
Clifton, NJ 07013
Phone (973) 625-4048

1054 Clifton Ave
#2
Clifton, NJ 07013
Phone (973) 625-4048

15 2nd Ave
Denville, NJ 07834
Phone (973) 625-4048

418 Summit Ave
Fl 1
Jersey City, NJ 07306

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

90 Bergen St
Ste 7700
Newark, NJ 07103
Phone (973) 972-2444

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1659669091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133638",
            "telephone_number": "973-625-4048",
            "fax_number": "973-625-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133638",
            "telephone_number": "973-625-4048",
            "fax_number": "973-625-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMIMI",
        "first_name": "IMAD",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-19",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI01875000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.