Khaled Eldin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

049044 Issued in NY

Practice address

3333 Highway 9 N
Old Bridge, NJ 08857-2691

Phone

(732) 679-6666

Fax

(732) 679-6676

NPI assigned

Dec 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Riverwalk Family Dental LLC

  • Dentist
  • Haddon Township, NJ
  • NPI 1659954915
  NPD Authorized official
• Hamilton Smile Center LLC

  • Dental Clinic/Center
  • Hamilton, NJ
  • NPI 1508492240
  NPD (past) Authorized official
• Jersey Shore Dental Center

  • Dental Clinic/Center
  • Neptune, NJ
  • NPI 1205074457
  NPD (past) Authorized official
• Woodland Park Dental Centers

  • Dentist
  • Woodland Park, NJ
  • NPI 1346786506
  NPD (past) Authorized official

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

{
    "created_epoch": "1166918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1720143415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 HIGHWAY 9 N",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572691",
            "telephone_number": "732-679-6666",
            "fax_number": "732-679-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 HIGHWAY 9 N",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572691",
            "telephone_number": "732-679-6666",
            "fax_number": "732-679-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDIN",
        "first_name": "KHALED",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-24",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "049044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eihab Human Services New Jersey, Inc.
• Eihab Human Services New Jersey, Inc.
• Eihab Human Services New Jersey, Inc.
• Eihab Human Services New Jersey, Inc.
• Eihab Human Services New Jersey, Inc.
• Hajar Elharroufy
• Elite Tutoring Academy
• Rachel Emma Ellenbogen, M.S. CCC-SLP
• Syvan Elting, M.S.
• Nicole Lynn Elvina, FNP-BC, FNP-C

• Dentist in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.