Sadredine Shadman, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

053684 Issued in NY

Practice address

503 S Broadway Ste 210
Yonkers, NY 10705-6202

Phone

(914) 965-9771

NPI assigned

Nov 27, 2007

Last updated

Dec 1, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Practice roles

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

• P&S Dental LLC

  dba Jersey City Dental

  • Dentist
  • Jersey City, NJ
  • NPI 1740593177
  NPD (past)
• SS Dental

  dba jersey city dental

  • General Practice Dentistry
  • Jersey City, NJ
  • NPI 1639296643
  NPD (past)

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1871775312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W END AVE APT 25D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236137",
            "telephone_number": "917-292-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S BROADWAY STE 210",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107056202",
            "telephone_number": "914-965-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADMAN",
        "first_name": "SADREDINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-27",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "053684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya M Serpa, M.S.W
• Launa Bernetta Service, L.P.N
• Jade Seward
• Regina Shanta Sexton, D.O.
• Erica Sgroe, NP
• Amishi Shah, M.D.
• Binod P Shah, MD
• Kaitav Shah, PHARM.D.
• Monica J Shah, M.D.
• Nidhi Madhusudan Shah

• Dentist in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.