Individual provider Active NPI

Sufian Mahmoud

  • Oral and Maxillofacial Surgery (Dentist)
  • Totowa, NJ
National Provider Identifier
1912469735
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
22DI02782900 Issued in NJ
Practice address
142 Totowa Rd Ste 7
Totowa, NJ 07512-2747
Phone
(973) 720-0621
Fax
(973) 720-9527
NPI assigned
Apr 1, 2019
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22D102782900 NJ
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 22DI02782900 NJ Primary

Addresses

Primary practice location

142 Totowa Rd Ste 7
Totowa, NJ 07512-2747

Mailing address

142 Totowa Rd Ste 7
Totowa, NJ 07512-2747
Phone (973) 720-0621

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

State licenses

LicenseStateTypeSpecialty
22D102782900NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Smile and Sleep Solutions Oral and Maxillofacial Surgery CurrentSince Feb 23, 2025 Accepting new patients
Diana L Galvis DDS PC Dentist Past Accepting new patients

Locations

142 Totowa Rd
Ste 7
Totowa, NJ 07512
Phone (973) 720-0621

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1912469735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 TOTOWA RD STE 7",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122747",
            "telephone_number": "973-720-0621",
            "fax_number": "973-720-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 TOTOWA RD STE 7",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122747",
            "telephone_number": "973-720-0621",
            "fax_number": "973-720-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOUD",
        "first_name": "SUFIAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D102782900",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02782900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; 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.