Individual provider Active NPI

Tehzeeb Hassan, DMD

  • Dentist
  • Cinnaminson, NJ
National Provider Identifier
1669769709
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
056386 Issued in NY
Practice address
2800 Route 130 N Ste 108
Cinnaminson, NJ 08077-3035
Phone
(856) 786-1881
NPI assigned
Jul 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 056386 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 22DI02508100 NJ

Addresses

Primary practice location

2800 Route 130 N Ste 108
Cinnaminson, NJ 08077-3035

Mailing address

1532 US 9
Clifton Park, NY 12065

Other practice location 1

447 South Shore Rd
Marmora, NJ 08223
Phone (763) 561-1200

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
22DI02508100NJMDDentist
056386NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1669769709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 US 9",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "12065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 ROUTE 130 N STE 108",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773035",
            "telephone_number": "856-786-1881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "447 South Shore Rd",
            "address_purpose": "LOCATION",
            "city": "Marmora",
            "state": "NJ",
            "postal_code": "08223",
            "country_code": "US",
            "telephone_number": "763-561-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "TEHZEEB",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-08",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "056386",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02508100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cinnaminson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.