Judith Mamah, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI20512 Issued in NJ

Practice address

885 Main St
Hackensack, NJ 07601-4914

Phone

(201) 343-4302

NPI assigned

Dec 10, 2005

Last updated

Jan 14, 2021By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Designing Smiles Igen Dental LLC

  • Dental Clinic/Center
  • Hackensack, NJ
  • NPI 1124617030
  NPD Authorized official
• Designing Smiles LLC

  • Dental Clinic/Center
  • Hackensack, NJ
  • NPI 1528126307
  Authorized official Same address or phone

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

{
    "created_epoch": "1134172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1760467930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014914",
            "telephone_number": "201-343-4302",
            "fax_number": "201-343-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014914",
            "telephone_number": "201-343-4302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Elm Ave",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076013739",
            "country_code": "US",
            "telephone_number": "201-343-4302",
            "fax_number": "201-343-4304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAMAH",
        "first_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-10",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI20512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Malley, MD
• Rajit Bhoosa Malliah, M.D.
• Mary Fares Mallouhi, DDS
• Katherine Malmrose, M.S., CCC-SLP
• Mam Orthopaedics, PA (Sports Medicine and Orthopaedic Center of New Jersey)
• Jeremy Robert Man, M.D.
• Lauren Kristen Mancuso, MSN, FNP-BC, FNP-C
• Pankaja A Mandhle, MD
• Alta Maness, NP
• Joan Ruth Esperanza Manglicmot, M.D

• General Practice Dentistry in Hackensack, NJ
• Providers in Hackensack, 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 Jan 14, 2021; 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.