Active NPIIndividual provider

Dr. Sara Fatima, DDS

Dentist, Pediatric Dentistry in Jersey City, New Jersey

NPI Number1073067963
Practice location
414 Grand St Ste 3, Jersey City, NJ 07302-4240
Fax
—
Last updated
September 7, 2026

Sara Fatima is a Dentist, Pediatric Dentistry based in Jersey City, NJ. Sara Fatima practices in Jersey City, NJ and has the professional credentials of DDS. The NPI Number for Sara Fatima is 1073067963 and holds a License No. 22DI02778100 (NJ). The current practice location address for Sara Fatima is 414 Grand St Ste 3, Jersey City, NJ 07302-4240 and can be reached out via phone at 217-361-7647.

Provider Profile Details

NPI Number
1073067963
Provider Name
Sara Fatima
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
414 Grand St Ste 3, Jersey City, NJ 07302-4240
Phone Number
217-361-7647
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
No
Provider Enumeration Date
August 8, 2016
Last Update Date
September 7, 2026
Certification Date
September 7, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
414 Grand St Ste 3
Jersey City, NJ 07302-4240
Zip
07302-4240
Phone Number
217-361-7647
Jersey City, NJ 07302Get directions →

Provider Business Mailing Address Details

Address
94 Buena Vista Ave
Piscataway, NJ 08854-4861
City
Piscataway
State
NJ
Zip
08854-4861
Phone Number
217-361-7647

License Information

License Number (1)
22DI02778100
License State (1)
NJ
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
22DI02778100
License State (2)
NJ
Taxonomy (2)
Dentist, Pediatric Dentistry · 1223P0221X · 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 Dr. Sara Fatima, DDS?

The NPI number of Dr. Sara Fatima, DDS is 1073067963. It was assigned on August 8, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Sara Fatima, DDS?

Dr. Sara Fatima, DDS is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NJ under license number 22DI02778100.

Where does Dr. Sara Fatima, DDS practice?

The practice location is 414 Grand St Ste 3, Jersey City, NJ 07302-4240. The office can be reached at 217-361-7647 (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 1073067963 directly on the NPPES registry website.

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