Mariam Habib, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02701800 Issued in NJ

Practice address

187 Chestnut St
Nutley, NJ 07110-4320

Phone

(407) 937-9344

NPI assigned

Jun 23, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mariam M. Habib, D.D.S., L.L.C.

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1528414588
  Medicare reassignment NPD Authorized official
• Hanaa'S Legacy, LLC

  • Dentist
  • Nutley, NJ
  • NPI 1669068466
  NPD Authorized official

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1851706485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 CHESTNUT ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071104320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 CHESTNUT ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071104320",
            "telephone_number": "407-937-9344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Paul St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328087544",
            "country_code": "US",
            "telephone_number": "407-290-0367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABIB",
        "first_name": "MARIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20984",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02701800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Greiner
• Howard B Groder, MD
• Melissa Groman, LCSW
• Moshe A Groman
• Amy Groome
• Hala Aboulhosn
• Hanaa'S Legacy, LLC
• Hari Om Sharma, MD, PC
• John M Hayes, BCBA
• Healthy Kids Pediatrics, LLC

• Dentist in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.