Individual provider Active NPI

Maha K Kaga, D.M.D.

  • General Practice Dentistry
  • Somerset, NJ
National Provider Identifier
1710167515
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02129200 Issued in NJ
Practice address
225 Demott LN
2ND Floor, Suite 5
Somerset, NJ 08873-4875
Phone
(732) 873-3333
Fax
(732) 873-3471
NPI assigned
Nov 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02129200 NJ Primary

Addresses

Primary practice location

225 Demott LN
2ND Floor, Suite 5
Somerset, NJ 08873-4875

Mailing address

225 Demott LN
2ND Floor, Suite 5
Somerset, NJ 08873-4875
Phone (732) 873-3333

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
I20150529001731 NJ Order and Referring Only - DentistPractitioner - Dentist 0749500932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02129200NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Maha K. Kaga, D.M.D., LLC General Practice Past 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": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1710167515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 DEMOTT LN",
            "address_2": "2ND FLOOR, SUITE 5",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734875",
            "telephone_number": "732-873-3333",
            "fax_number": "732-873-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 DEMOTT LN",
            "address_2": "2ND FLOOR, SUITE 5",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734875",
            "telephone_number": "732-873-3333",
            "fax_number": "732-873-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGA",
        "first_name": "MAHA",
        "middle_name": "K",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02129200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.