Organization Active NPI

Inman Dental Care PC

  • Dentist
  • Edison, NJ
National Provider Identifier
1871638783
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17788 Issued in NJ
Legal business name
INMAN DENTAL CARE PC
Practice address
3 Progress Street
Suite No 101
Edison, NJ 08820
Phone
(908) 754-5252
Fax
(908) 754-6663
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Serajus Salekin Quaderi, DDSNPI 1144210824
Title
Dentist
Phone
(908) 754-5252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 17788 NJ Primary

Addresses

Primary practice location

3 Progress Street
Suite No 101
Edison, NJ 08820

Mailing address

3 Progress Street
Suite No 101
Edison, NJ 08820
Phone (908) 754-5252

Other identifiers 1

IdentifierTypeStateIssuer
6792006MedicaidNJ

National Provider Directory

National Provider Directory

Locations

3 Progress St
Ste 101
Edison, NJ 08820
Phone (908) 754-5252

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871638783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PROGRESS STREET",
            "address_2": "SUITE NO 101",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "908-754-5252",
            "fax_number": "908-754-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PROGRESS STREET",
            "address_2": "SUITE NO 101",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "908-754-5252",
            "fax_number": "908-754-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INMAN DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUADERI",
        "authorized_official_first_name": "SERAJUS",
        "authorized_official_middle_name": "SALEKIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "908-754-5252",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "17788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6792006",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.