Active NPIIndividual providerSole proprietor

Souren Hajjar

Dentist, Oral and Maxillofacial Surgery in Newark, New Jersey

NPI Number1174059679
Practice location
110 Bergen St, Room B854, Newark, NJ 07101-1709
Fax
—
Last updated
July 11, 2024

Souren Hajjar is a Dentist, Oral and Maxillofacial Surgery based in Newark, NJ. Souren Hajjar practices in Newark, NJ. The NPI Number for Souren Hajjar is 1174059679 and holds a License No. DN29069 (FL). The current practice location address for Souren Hajjar is 110 Bergen St, Room B854, Newark, NJ 07101-1709 and can be reached out via phone at 973-972-3126.

Provider Profile Details

NPI Number
1174059679
Provider Name
Souren Hajjar
Provider Entity Type
Individual
Gender
Male
Address
110 Bergen St, Room B854, Newark, NJ 07101-1709
Phone Number
973-972-3126
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
Yes
Provider Enumeration Date
May 4, 2017
Last Update Date
July 11, 2024
Certification Date
July 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Bergen St
Room B854
Newark, NJ 07101-1709
City
Newark
Zip
07101-1709
Phone Number
973-972-3126
Newark, NJ 07101Get directions →

Provider Business Mailing Address Details

Address
110 Bergen St Rm B-854
Newark, NJ 07103-2495
City
Newark
State
NJ
Zip
07103-2495

License Information

License Number (1)
DN29069
License State (1)
FL
Taxonomy (1)
Oral & Maxillofacial Surgery · 204E00000X
License Number (2)
DN29069
License State (2)
FL
Taxonomy (2)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · 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 Souren Hajjar?

The NPI number of Souren Hajjar is 1174059679. It was assigned on May 4, 2017 and is currently active in the NPPES registry.

What is the specialty of Souren Hajjar?

Souren Hajjar is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in FL under license number DN29069.

Where does Souren Hajjar practice?

The practice location is 110 Bergen St, Room B854, Newark, NJ 07101-1709. The office can be reached at 973-972-3126 (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 1174059679 directly on the NPPES registry website.

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