Active NPI
Omar Abdulaziz Soliman Abed, DMD
- Dentist
- Jersey City, NJ
National Provider Identifier
1851961833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI03055300
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230117003085 | WI | Order and Referring Only - Dentist | 3971974635 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI03055300 | NJ | MD | Dentist |
| 0401417550 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Associates Family Dentistry PC | General Practice | Current | Accepting new patients |
| Habiba Dental PC | Dentist | Past | Accepting new patients |
| TDS Jersey City Heights LLC | Past | Accepting new patients |
Locations
741 Secaucus Rd
Jersey City, NJ 07307
Phone (201) 754-1100
Interoperability endpoints
- 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.
-
- General Practice Dentistry
- Jersey City, NJ
- NPI 1265298434
General Practice
-
- Dental Clinic/Center
- Jersey City, NJ
- NPI 1891643987
-
- Dentist
- Front Royal, VA
- NPI 1366873127
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.