Individual provider Active NPI

Mari Noruzi, DMD

  • General Practice Dentistry
  • Teaneck, NJ
National Provider Identifier
1861539116
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI16819 Issued in NJ
Practice address
265 Cedar LN FL 3
Teaneck, NJ 07666-3444
Phone
(201) 488-1164
Fax
(201) 791-0364
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI16819 NJ Primary

Addresses

Primary practice location

265 Cedar LN FL 3
Teaneck, NJ 07666-3444

Mailing address

205 Tryon PL
Paramus, NJ 07652-4213

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
DI16819NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sunflower Dental Group PC General Practice CurrentSince Oct 27, 2024 Accepting new patients

Locations

265 Cedar Ln
Fl 3
Teaneck, NJ 07666
Phone (201) 488-1164

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1861539116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 TRYON PL",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524213",
            "fax_number": "201-791-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 CEDAR LN FL 3",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663444",
            "telephone_number": "201-488-1164",
            "fax_number": "201-791-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORUZI",
        "first_name": "MARI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI16819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.