Individual provider Active NPI

David Issam Sabat

  • Dentist
  • Hackensack, NJ
National Provider Identifier
1952043044
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02949300 Issued in NJ
Practice address
645 Main St
Hackensack, NJ 07601-4712
Phone
(201) 347-5001
NPI assigned
Apr 10, 2022
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02949300 NJ Primary

Addresses

Primary practice location

645 Main St
Hackensack, NJ 07601-4712

Mailing address

645 Main St
Hackensack, NJ 07601-4712
Phone (201) 347-5001

Other practice location 1

197 Ridgedale Ave Ste 245
Cedar Knolls, NJ 07927-2107
Phone (973) 889-1900

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
22DI02949300NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Genuine Dental Management LLC PastSince Aug 6, 2023 Accepting new patients
Advanced Dental Center of Cedar Knolls PA PastSince Jul 12, 2020 Accepting new patients
Genuine Smiles PA Dentist PastSince Aug 6, 2023 Accepting new patients

Organizations & group practices 3

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": "1649548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1952043044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014712",
            "telephone_number": "201-347-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014712",
            "telephone_number": "201-347-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "197 Ridgedale Ave Ste 245",
            "address_purpose": "LOCATION",
            "city": "Cedar Knolls",
            "state": "NJ",
            "postal_code": "079272107",
            "country_code": "US",
            "telephone_number": "973-889-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABAT",
        "first_name": "DAVID",
        "middle_name": "ISSAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-10",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02949300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.