Organization Active NPI

Prowise Dental Group LLC

  • General Practice Dentistry
  • Green Brook, NJ
National Provider Identifier
1952241929
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PROWISE DENTAL GROUP LLC
Practice address
933 N Washington Ave
Green Brook, NJ 08812-2600
Phone
(732) 968-8585
NPI assigned
Mar 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Dr. Rabih Al Faytarouni, DMDNPI 1770260549
Title
Owner
Phone
(551) 223-0000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

933 N Washington Ave
Green Brook, NJ 08812-2600

Mailing address

933 N Washington Ave
Green Brook, NJ 08812-2600
Phone (732) 968-8585

National Provider Directory

National Provider Directory

Locations

933 N Washington Ave
Green Brook, NJ 08812
Phone (732) 752-9110

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1952241929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 N WASHINGTON AVE",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "088122600",
            "telephone_number": "732-968-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 N WASHINGTON AVE",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "088122600",
            "telephone_number": "732-968-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROWISE DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "AL FAYTAROUNI",
        "authorized_official_first_name": "RABIH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "551-223-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.