Individual provider Active NPI

Mohammed Saleh Erakat, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Princeton, NJ
National Provider Identifier
1891963666
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
22DI0233870 Issued in NJ
Practice address
3700 Route 27
Suite 103
Princeton, NJ 08540-9610
Phone
(732) 297-7000
Fax
(732) 297-3638
NPI assigned
Feb 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 22DI0233870 NJ Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 055841-1 NY

Addresses

Primary practice location

3700 Route 27
Suite 103
Princeton, NJ 08540-9610

Mailing address

3700 Route 27
Suite 103
Princeton, NJ 08540-9610
Phone (732) 297-7000

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22DI0233870NJMDOral and Maxillofacial Surgery (Dentist)
055841-1NYMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Oral Surgery LLC Oral and Maxillofacial Surgery 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": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1891963666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 ROUTE 27",
            "address_2": "SUITE 103",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085409610",
            "telephone_number": "732-297-7000",
            "fax_number": "732-297-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 ROUTE 27",
            "address_2": "SUITE 103",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085409610",
            "telephone_number": "732-297-7000",
            "fax_number": "732-297-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERAKAT",
        "first_name": "MOHAMMED",
        "middle_name": "SALEH",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-14",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI0233870",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "055841-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.