Individual provider Active NPI

Omar Abdulaziz Soliman Abed, DMD

  • Dentist
  • Jersey City, NJ
National Provider Identifier
1851961833
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI03055300 Issued in NJ
Practice address
741 Secaucus Rd
Jersey City, NJ 07307-2565
Phone
(201) 754-1100
NPI assigned
Jun 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401417550 VA
Dentist 122300000X 22DI03055300 NJ Primary

Addresses

Primary practice location

741 Secaucus Rd
Jersey City, NJ 07307-2565

Mailing address

3450 Wayne Ave Apt 12N
Bronx, NY 10467-2516
Phone (240) 938-8590

Other practice location 1

415 S Main St
Culpeper, VA 22701-3151
Phone (540) 825-7676

Other practice location 2

1516 N Shenandoah Ave Ste B
Front Royal, VA 22630-3649
Phone (540) 636-2003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20230117003085 WI Order and Referring Only - DentistPractitioner - Dentist 3971974635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI03055300NJMDDentist
0401417550VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Associates Family Dentistry PC General Practice CurrentSince Sep 29, 2024 Accepting new patients
Habiba Dental PC Dentist PastSince Jul 1, 2021 Accepting new patients
TDS Jersey City Heights LLC PastSince Sep 29, 2024 Accepting new patients

Locations

741 Secaucus Rd
Jersey City, NJ 07307
Phone (201) 754-1100

Interoperability endpoints

  • Direct secure messaging: oabed649891@direct.ochin.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1851961833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 WAYNE AVE APT 12N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672516",
            "telephone_number": "240-938-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 SECAUCUS RD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073072565",
            "telephone_number": "201-754-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 S Main St",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227013151",
            "country_code": "US",
            "telephone_number": "540-825-7676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1516 N Shenandoah Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226303649",
            "country_code": "US",
            "telephone_number": "540-636-2003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABED",
        "first_name": "OMAR",
        "middle_name": "ABDULAZIZ SOLIMAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417550",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI03055300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.