Active NPI
Reem Ibrahim Alhussain, DDS
- Pediatric Dentistry
- Piscataway, NJ
National Provider Identifier
1891175469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 0401415743
- Practice address
- 1312 Centennial Ave Unit 11
Piscataway, NJ 08854-4324 - Phone
- (732) 781-1777
- NPI assigned
- Jun 9, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | ||
| Pediatric Dentistry | 1223P0221X | 0401415743 | VA | Primary |
Addresses
Primary practice location
1312 Centennial Ave Unit 11
Piscataway, NJ 08854-4324
Mailing address
8869 Olive Mae Cir
Fairfax, VA 22031-1479
Phone (571) 277-3350
Other practice location 1
345 E 24th St
New York, NY 10010-4020
Phone (571) 277-3350
Other names 1
- Reem Ibrahim Alhussain Hamidaddin
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171213003009 | NJ | Order and Referring Only - Oral Surgery | 8123386497 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401415743 | VA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1891175469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8869 OLIVE MAE CIR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220311479",
"telephone_number": "571-277-3350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 CENTENNIAL AVE UNIT 11",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "088544324",
"telephone_number": "732-781-1777"
}
],
"practiceLocations": [
{
"address_1": "345 E 24th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100104020",
"country_code": "US",
"telephone_number": "571-277-3350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALHUSSAIN",
"first_name": "REEM",
"middle_name": "IBRAHIM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-09",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "VA",
"license": "0401415743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REEM",
"last_name": "ALHUSSAIN HAMIDADDIN",
"middle_name": "IBRAHIM",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Piscataway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.