Mariam Vaziri, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02098000 Issued in NJ

Practice address

28 Beechwood Rd
Suite 2
Summit, NJ 07901-2532

Phone

(978) 692-6326

Fax

(908) 737-1353

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1740499797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BEECHWOOD RD",
            "address_2": "SUITE 2",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012532",
            "telephone_number": "617-794-0889",
            "fax_number": "908-737-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 BEECHWOOD RD",
            "address_2": "SUITE 2",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012532",
            "telephone_number": "978-692-6326",
            "fax_number": "908-737-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZIRI",
        "first_name": "MARIAM",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20045",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02098000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adem Ural, DO
• William S Vallario, PHARMACIST
• Marisa Vanbuskirk, APN
• Gwendolyn Vanvolkenburgh, LCSW
• Vlad Brian Vayzband, MD, MPH
• Dennis Vega, MD
• Maria Estelle Velazquez-Knight, LSW
• Ankita Veta, MD, MPH
• Donna R Vickery, M.D.
• Vigman & Pollock, PA

• General Practice Dentistry in Summit, NJ
• Providers in Summit, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.