Barazesh Illiano Dental Partnership

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BARAZESH ILLIANO DENTAL PARTNERSHIP

Practice address

2435 Lamington Rd
Bedminster, NJ 07921-2993

Phone

(908) 500-4921

NPI assigned

Sep 6, 2024

Last updated

Sep 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sara Barazesh, DDSNPI 1568056760

Title

Partner

Phone

(908) 500-4921

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sara Elnaz Barazesh, DDS

  • Dentist
  • Montclair, NJ
  • NPI 1568056760
  NPD Authorized official

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1740015874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 N MAPLE AVE",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201024",
            "telephone_number": "908-500-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 LAMINGTON RD",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079212993",
            "telephone_number": "908-500-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARAZESH ILLIANO DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "BARAZESH",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "908-500-4921",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Theresa Barr, RPH
• Meryl A Baurmash, D.D.S.
• Charles Becker, M.D.
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• Dental Clinic/Center in Bedminster, NJ
• Providers in Bedminster, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.