Khadijah Ismael, DMD
Dentist, General Practice in Newark, New Jersey
1063542587- Practice location
- 21 Quitman St, Newark, NJ 07103-4105
- Phone
- 973-424-4329
- Fax
- 973-824-2097
- Last updated
- July 9, 2007
Khadijah Ismael is a Dentist, General Practice based in Newark, NJ. Khadijah Ismael practices in Newark, NJ and has the professional credentials of DMD. The NPI Number for Khadijah Ismael is 1063542587 and holds a License No. 22DI02314800 (NJ). The current practice location address for Khadijah Ismael is 21 Quitman St, Newark, NJ 07103-4105 and can be reached out via phone at 973-424-4329 and via fax at 973-824-2097.
Provider Profile Details
- NPI Number
- 1063542587
- Provider Name
- Khadijah Ismael
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 21 Quitman St, Newark, NJ 07103-4105
- Phone Number
- 973-424-4329
- Fax Number
- 973-824-2097
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 6, 2007
- Last Update Date
- July 9, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 21 Quitman St
Newark, NJ 07103-4105 - City
- Newark
- State
- New Jersey
- Zip
- 07103-4105
- Phone Number
- 973-424-4329
- Fax Number
- 973-824-2097
Provider Business Mailing Address Details
- Address
- 103 Borman Ave
Avenel, NJ 07001-2106 - City
- Avenel
- State
- NJ
- Zip
- 07001-2106
- Phone Number
- 973-979-6144
License Information
- License Number
- 22DI02314800
- License State
- NJ
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Khadijah Ismael, DMD?
The NPI number of Khadijah Ismael, DMD is 1063542587. It was assigned on March 6, 2007 and is currently active in the NPPES registry.
What is the specialty of Khadijah Ismael, DMD?
Khadijah Ismael, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02314800.
Where does Khadijah Ismael, DMD practice?
The practice location is 21 Quitman St, Newark, NJ 07103-4105. The office can be reached at 973-424-4329 (phone) or 973-824-2097 (fax).
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 1063542587 directly on the NPPES registry website.