Individual provider Active NPI

Sarah M Mourad, DMD

  • Dentist
  • Woodland Park, NJ
National Provider Identifier
1811392095
Registry record updated Feb 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02571700 Issued in NJ
Practice address
1000 McBride Ave
Woodland Park, NJ 07424-2578
Phone
(973) 742-5541
Fax
(973) 742-5541
NPI assigned
Oct 29, 2014
Last updated
Feb 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02571700 NJ Primary

Addresses

Primary practice location

1000 McBride Ave
Woodland Park, NJ 07424-2578

Mailing address

841 Stonewall CT
Franklin Lakes, NJ 07417-1927
Phone (732) 429-6436

Other practice location 1

87 W Passaic St
Rochelle Park, NJ 07662-3213
Phone (201) 880-7480

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

LicenseStateTypeSpecialty
22DI02571700NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Paramus Dental&Implant Center Dentist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549065600000",
    "number": "1811392095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 STONEWALL CT",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171927",
            "telephone_number": "732-429-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MCBRIDE AVE",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242578",
            "telephone_number": "973-742-5541",
            "fax_number": "973-742-5541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "87 W Passaic St",
            "address_purpose": "LOCATION",
            "city": "Rochelle Park",
            "state": "NJ",
            "postal_code": "076623213",
            "country_code": "US",
            "telephone_number": "201-880-7480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOURAD",
        "first_name": "SARAH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2019-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02571700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2019; 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.