Active NPI
Ellen Noumi
- General Practice Dentistry
- Short Hills, NJ
National Provider Identifier
1790376309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI02824000
- Practice address
- 8 Puritan Rd
Short Hills, NJ 07078-1414 - Phone
- (347) 635-9589
- NPI assigned
- Jan 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02824000 | NJ | Primary |
Addresses
Primary practice location
8 Puritan Rd
Short Hills, NJ 07078-1414
Mailing address
194 Marine Ave
Brooklyn, NY 11209-7706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02824000 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1790376309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 MARINE AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112097706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 PURITAN RD",
"city": "SHORT HILLS",
"state": "NJ",
"postal_code": "070781414",
"telephone_number": "347-635-9589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOUMI",
"first_name": "ELLEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-27",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02824000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Short Hills, NJ
- Tuong VI Thi Nguyen, PHARM.D.
- NK Health Short Hills LLC (Short Hills Pharmacy)
- Nordstrom Inc & Subsidiaries
- Joan P Noroff, MD
- North Jersey Nutrition & Wellness Group
- Nuage Therapy & Medical Supply LLC
- Nurture Develop & Achieve LLC
- Ifeoma Nwafor, APN, PMHNP-BC
- Nynj Psychiatric Associates LLC
- Kofoworola Ojo, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.