Individual provider Active NPI

Manar Aldjaei, DDS

  • General Practice Dentistry
  • Schenectady, NY
National Provider Identifier
1912495169
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
060594 Issued in NY
Practice address
1542 Union St
Schenectady, NY 12309-6002
Phone
(518) 370-5234
NPI assigned
Apr 24, 2018
Last updated
Aug 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 060594 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

1542 Union St
Schenectady, NY 12309-6002

Mailing address

1542 Union St
Schenectady, NY 12309-6002
Phone (804) 248-5988

Other practice location 1

4 stuyvasant oval
App # 9F
new york, NY 10009
Phone (804) 248-5988

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1912495169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 UNION ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123096002",
            "telephone_number": "804-248-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 UNION ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123096002",
            "telephone_number": "518-370-5234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 stuyvasant oval",
            "address_2": "App # 9F",
            "address_purpose": "LOCATION",
            "city": "new york",
            "state": "NY",
            "postal_code": "10009",
            "country_code": "US",
            "telephone_number": "804-248-5988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALDJAEI",
        "first_name": "MANAR",
        "name_prefix": "Miss",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "060594",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.