Individual provider Active NPI

Asmaa Abdeen, DMD

  • Dentist
  • Jersey City, NJ
National Provider Identifier
1679216683
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02903500 Issued in NJ
Practice address
2787 John F Kennedy Blvd Ste A13
Jersey City, NJ 07306-5531
Phone
(201) 208-2102
Fax
(201) 588-1840
NPI assigned
Apr 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02903500 NJ Primary

Addresses

Primary practice location

2787 John F Kennedy Blvd Ste A13
Jersey City, NJ 07306-5531

Mailing address

8 Whitman Ave Apt 1
Jersey City, NJ 07306-6867
Phone (551) 242-4420

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
I20241213000033 NJ Practitioner - Dentist 1658807672 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Denta Glow Corp CurrentSince Nov 1, 2024 Accepting new patients

Organizations & group practices 1

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": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1679216683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WHITMAN AVE APT 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073066867",
            "telephone_number": "551-242-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2787 JOHN F KENNEDY BLVD STE A13",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065531",
            "telephone_number": "201-208-2102",
            "fax_number": "201-588-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDEEN",
        "first_name": "ASMAA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02903500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.