Active NPI
Fadi Kano
- General Practice Dentistry
- South Amboy, NJ
National Provider Identifier
1801098181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DI02344500
- Practice address
- 960S Hwy 9
South Amboy, NJ 08879-3310 - Phone
- (732) 727-3399
- NPI assigned
- May 31, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | DI02344500 | NJ | Primary |
Addresses
Primary practice location
960S Hwy 9
South Amboy, NJ 08879-3310
Mailing address
6806 Owls Head CT Apt 1a
Brooklyn, NY 11220-5045
Phone (718) 704-4700
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 |
|---|---|---|---|
| DI02344500 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801098181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6806 OWLS HEAD CT APT 1A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112205045",
"telephone_number": "718-704-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960S HWY 9",
"city": "SOUTH AMBOY",
"state": "NJ",
"postal_code": "088793310",
"telephone_number": "732-727-3399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANO",
"first_name": "FADI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "DI02344500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Amboy, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.