Active NPIIndividual provider

Dr. Heba Elkassaby, BDS, DMD, MDSC

Dentist, Prosthodontics in Newark, New Jersey

NPI Number1124403795
Practice location
110 Bergen St Rm C-703, Newark, NJ 07103-2495
Fax
—
Last updated
January 5, 2023

Heba Elkassaby is a Dentist, Prosthodontics based in Newark, NJ. Heba Elkassaby practices in Newark, NJ and has the professional credentials of BDS, DMD, MDSC. The NPI Number for Heba Elkassaby is 1124403795 and holds a License No. 22DI02797800 (NJ). The current practice location address for Heba Elkassaby is 110 Bergen St Rm C-703, Newark, NJ 07103-2495 and can be reached out via phone at 347-446-3873.

Provider Profile Details

NPI Number
1124403795
Provider Name
Heba Elkassaby
Credential
BDS, DMD, MDSC
Provider Entity Type
Individual
Gender
Female
Address
110 Bergen St Rm C-703, Newark, NJ 07103-2495
Phone Number
347-446-3873
Primary Taxonomy
Dentist, Prosthodontics · 1223P0700X
Sole Proprietor
No
Provider Enumeration Date
July 24, 2015
Last Update Date
January 5, 2023
Certification Date
January 5, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Bergen St Rm C-703
Newark, NJ 07103-2495
City
Newark
Zip
07103-2495
Phone Number
347-446-3873
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
110 Bergen St Rm C-703
Newark, NJ 07103-2495
City
Newark
State
NJ
Zip
07103-2495
Phone Number
973-972-6997

License Information

License Number
22DI02797800
License State
NJ
Taxonomy
Dentist, Prosthodontics · 1223P0700X · 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. Heba Elkassaby, BDS, DMD, MDSC?

The NPI number of Dr. Heba Elkassaby, BDS, DMD, MDSC is 1124403795. It was assigned on July 24, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Heba Elkassaby, BDS, DMD, MDSC?

Dr. Heba Elkassaby, BDS, DMD, MDSC is registered under the primary taxonomy Dentist, Prosthodontics (code 1223P0700X), licensed in NJ under license number 22DI02797800.

Where does Dr. Heba Elkassaby, BDS, DMD, MDSC practice?

The practice location is 110 Bergen St Rm C-703, Newark, NJ 07103-2495. The office can be reached at 347-446-3873 (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 1124403795 directly on the NPPES registry website.

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