Shaija Muneer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22D12356200 Issued in NJ

Practice address

615 Wyckoff Ave Ste 2
Wyckoff, NJ 07481-1353

Phone

(201) 891-0409

NPI assigned

Sep 8, 2008

Last updated

Jan 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shaija Aziz Former name

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": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1811145444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 WYCKOFF AVE STE 2",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811353",
            "telephone_number": "201-891-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 WYCKOFF AVE STE 2",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811353",
            "telephone_number": "201-891-0409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3208 Schindler Ln",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074701907",
            "country_code": "US",
            "telephone_number": "908-938-4674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNEER",
        "first_name": "SHAIJA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D12356200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "22DI02356200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAIJA",
            "last_name": "AZIZ",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Thomas Montenare, O.D.
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• General Practice Dentistry in Wyckoff, NJ
• Providers in Wyckoff, 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 8, 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.