Individual provider Active NPI

Rami Omar Muadab, B.D.S.

  • Dentist
  • Boston, MA
National Provider Identifier
1669806709
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DL11939 Issued in MA
Practice address
1 Kneeland St
Boston, MA 02111-1527
Phone
(617) 636-3915
Fax
(617) 636-6809
NPI assigned
Aug 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DL11939 MA Primary

Addresses

Primary practice location

1 Kneeland St
Boston, MA 02111-1527

Mailing address

1 Kneeland St
Boston, MA 02111-1527
Phone (617) 636-3915

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
I20221220001607 NJ Practitioner - Dentist 6800265570 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DL11939MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers University Dental Associates-New Brunswick Dentist CurrentSince Dec 1, 2022 Accepting new patients
Rutgers School of Dental Medicine CurrentSince Dec 1, 2022 Accepting new patients
Rutgers Health - RSDM Dental Associates - New Brunswick Os - NB CurrentSince Dec 1, 2022 Accepting new patients
Rutgers Health -University Dental Associates CurrentSince Dec 1, 2022 Accepting new patients
Rutgers School of Dental Medicine CurrentSince Dec 1, 2022 Accepting new patients

Locations

135 Somerset St
Ste A
New Brunswick, NJ 08901
Phone (732) 235-5050

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

110 Bergen St
#D718
Newark, NJ 07103
Phone (973) 972-4242

110 Bergen St
Newark, NJ 07103
Phone (973) 972-3126

110 Bergen St
Ste B842A
Newark, NJ 07103

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1669806709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KNEELAND ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111527",
            "telephone_number": "617-636-3915",
            "fax_number": "617-636-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KNEELAND ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111527",
            "telephone_number": "617-636-3915",
            "fax_number": "617-636-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUADAB",
        "first_name": "RAMI",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "B.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL11939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.