Asma Ijaz, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9252 Issued in CT

Practice address

521 Washington Ave
North Haven, CT 06473-1312

Phone

(203) 234-2900

Fax

(203) 234-3941

NPI assigned

Jun 9, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Nova Dental LLC

  • General Practice Dentistry
  • North Haven, CT
  • NPI 1760431621
  NPD (past) Authorized official

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1760423156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BUCKLAND ST",
            "address_2": "APT. 1012-2",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060427700",
            "telephone_number": "860-432-2818",
            "fax_number": "860-533-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 WASHINGTON AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731312",
            "telephone_number": "203-234-2900",
            "fax_number": "203-234-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IJAZ",
        "first_name": "ASMA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "9252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Huff, CPHT
• Yan Huo, LAC
• Iah Homecare LLC
• Nicholas Mark Iamele, LPCA
• Elizabeth Iamunno
• Ilaria Filippi LMFT LLC
• Kathryn Imes, MA, CCC-SLP
• Insight by Philips Optical
• Integrated Healthcare & Sports Specialists, LLC
• Integrated Psychiatric Services Inc

• General Practice Dentistry in North Haven, CT
• Providers in North Haven, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.