Individual provider Active NPI

Maryana Aljumah, DMD

  • Dentist
  • Sterling Heights, MI
National Provider Identifier
1699384891
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901600582 Issued in MI
Practice address
3939 17 Mile Rd
Sterling Heights, MI 48310-6834
Phone
(586) 264-4240
NPI assigned
Jul 24, 2020
Last updated
Jul 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901600582 MI Primary

Addresses

Primary practice location

3939 17 Mile Rd
Sterling Heights, MI 48310-6834

Mailing address

4212 April LN
Sterling Heights, MI 48310-4406
Phone (248) 535-2286

Other practice location 1

5979 Highland Rd
Waterford Twp, MI 48327
Phone (947) 222-4345

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
2901600582MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Marogy Hy PPLC Dentist PastSince Aug 2, 2020 Accepting new patients
Sundus Marogy Hy LLC Dentist PastSince Aug 2, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1699384891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 APRIL LN",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104406",
            "telephone_number": "248-535-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 17 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483106834",
            "telephone_number": "586-264-4240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5979 Highland Rd",
            "address_purpose": "LOCATION",
            "city": "Waterford Twp",
            "state": "MI",
            "postal_code": "48327",
            "country_code": "US",
            "telephone_number": "947-222-4345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALJUMAH",
        "first_name": "MARYANA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.