Salim Nathoo, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

22DI01761401 Issued in NJ

Practice address

Temple University Dental School
3223 North Broad Street
Philadelphia, PA 19140

Phone

(732) 266-0507

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1851497812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 S RANDOLPHVILLE RD",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TEMPLE UNIVERSITY DENTAL SCHOOL",
            "address_2": "3223 NORTH BROAD STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19140",
            "telephone_number": "732-266-0507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "277 George St",
            "address_purpose": "LOCATION",
            "city": "New Brunswick",
            "state": "NJ",
            "postal_code": "089011311",
            "country_code": "US",
            "telephone_number": "732-235-6700",
            "fax_number": "732-235-6726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATHOO",
        "first_name": "SALIM",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01761401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5248400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Ross Nathan, MD
• Suresh Kailash Nathan, MD
• Nathaniel Abramson DO PC
• Jane Nathanson, MD
• Katherine L Nathanson, MD
• Rahul Anand Nathwani, M.D.
• Nicole Naticchia
• Nation Care Inc
• National Ambulance Inc
• National Discount Pharmacy LLC

• Dentist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.