Individual provider Active NPI

Sakina Hussain, DDS

  • Dentist
  • Bayonne, NJ
National Provider Identifier
1881062263
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DL02611600 Issued in NJ
Practice address
711 Avenue C
Bayonne, NJ 07002-5833
Phone
(201) 437-3500
Fax
(201) 437-3724
NPI assigned
Sep 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DL02611600 NJ Primary

Addresses

Primary practice location

711 Avenue C
Bayonne, NJ 07002-5833

Mailing address

711 Avenue C
Bayonne, NJ 07002-5833
Phone (201) 437-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20160613000100 NJ Order and Referring Only - DentistPractitioner - Dentist 0042500571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DL02611600NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Seidman,Cohen,Herman,Normane,PA Dentist Past Accepting new patients

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": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1881062263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070025833",
            "telephone_number": "201-437-3500",
            "fax_number": "201-437-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070025833",
            "telephone_number": "201-437-3500",
            "fax_number": "201-437-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "SAKINA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DL02611600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.