Active NPIIndividual provider

Mozhdeh Nematollahi

Dentist in Perth Amboy, New Jersey

NPI Number1003647231
Practice location
252 Madison Ave Ste 106, Perth Amboy, NJ 08861-4314
Fax
—
Last updated
August 9, 2024

Mozhdeh Nematollahi is a Dentist based in Perth Amboy, NJ. Mozhdeh Nematollahi practices in Perth Amboy, NJ. The NPI Number for Mozhdeh Nematollahi is 1003647231 and holds a License No. 22DI03045100 (NJ). The current practice location address for Mozhdeh Nematollahi is 252 Madison Ave Ste 106, Perth Amboy, NJ 08861-4314 and can be reached out via phone at 732-997-6453.

Provider Profile Details

NPI Number
1003647231
Provider Name
Mozhdeh Nematollahi
Provider Entity Type
Individual
Gender
Female
Address
252 Madison Ave Ste 106, Perth Amboy, NJ 08861-4314
Phone Number
732-997-6453
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
August 9, 2024
Last Update Date
August 9, 2024
Certification Date
August 5, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
252 Madison Ave Ste 106
Perth Amboy, NJ 08861-4314
Zip
08861-4314
Phone Number
732-997-6453
Perth Amboy, NJ 08861Get directions →

Provider Business Mailing Address Details

Address
305 Peach St
Avenel, NJ 07001-1005
City
Avenel
State
NJ
Zip
07001-1005
Phone Number
848-235-8264

License Information

License Number
22DI03045100
License State
NJ
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mozhdeh Nematollahi?

The NPI number of Mozhdeh Nematollahi is 1003647231. It was assigned on August 9, 2024 and is currently active in the NPPES registry.

What is the specialty of Mozhdeh Nematollahi?

Mozhdeh Nematollahi is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI03045100.

Where does Mozhdeh Nematollahi practice?

The practice location is 252 Madison Ave Ste 106, Perth Amboy, NJ 08861-4314. The office can be reached at 732-997-6453 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003647231 directly on the NPPES registry website.

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