Amir Ahmadi, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

22DI02320700 Issued in NJ

Practice address

153 Fort Lee Rd
Teaneck, NJ 07666-3984

Phone

(212) 996-3124

NPI assigned

Nov 3, 2006

Last updated

Jul 10, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Bergen Periodontics LLC

  • Periodontics
  • Teaneck, NJ
  • NPI 1316837818
  Authorized official Same address or phone
• Diamond Spring Dental Associates PA

  • Dentist
  • Denville, NJ
  • NPI 1043323371
  NPD (past)
• DS Dental Associates P.C.

  • Dentist
  • Denville, NJ
  • NPI 1639417538
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1912086372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ROCKWOOD PL UNIT A",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201413",
            "telephone_number": "212-996-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 FORT LEE RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663984",
            "telephone_number": "212-996-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMADI",
        "first_name": "AMIR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "051732",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI02320700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Sleep Technology LLC
• Advocare , LLC (Advocare Suldan Pediatrics)
• Advocare, LLC (Advocare West Englewood Pediatrics)
• Affiliated Foot & Ankle Spec of Teaneck
• Jeanine Linda Ahmad
• Aneesa Ahmed
• Subhan Ahmed, M.D
• Vaqar Ahmed, MD
• George Ajjan, M.D.
• Jahnavi Akkaldevi

• Periodontics in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.