Islam Moheisen, DMD
Dentist in Ridgewood, New Jersey
1477151041- Practice location
- 89 N Maple Ave, Ridgewood, NJ 07450-3235
- Phone
- 201-797-8899
- Fax
- —
- Last updated
- October 10, 2023
Islam Moheisen is a Dentist based in Ridgewood, NJ. Islam Moheisen practices in Ridgewood, NJ and has the professional credentials of DMD. The NPI Number for Islam Moheisen is 1477151041 and holds a License No. 22di02829900 (NJ). The current practice location address for Islam Moheisen is 89 N Maple Ave, Ridgewood, NJ 07450-3235 and can be reached out via phone at 201-797-8899.
Provider Profile Details
- NPI Number
- 1477151041
- Provider Name
- Islam Moheisen
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 89 N Maple Ave, Ridgewood, NJ 07450-3235
- Phone Number
- 201-797-8899
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 15, 2020
- Last Update Date
- October 10, 2023
- Certification Date
- October 10, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 89 N Maple Ave
Ridgewood, NJ 07450-3235 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450-3235
- Phone Number
- 201-797-8899
Provider Business Mailing Address Details
- Address
- 1400 Pelham Pkwy S
Bronx, NY 10461-1197 - City
- Bronx
- State
- NY
- Zip
- 10461-1197
License Information
- License Number (1)
- 22di02829900
- License State (1)
- NJ
- Taxonomy (1)
- Dentist · 122300000X · Primary
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Ridgewood, NJ
View all Dentists in Ridgewood →Frequently Asked Questions
What is the NPI number of Islam Moheisen, DMD?
The NPI number of Islam Moheisen, DMD is 1477151041. It was assigned on October 15, 2020 and is currently active in the NPPES registry.
What is the specialty of Islam Moheisen, DMD?
Islam Moheisen, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22di02829900.
Where does Islam Moheisen, DMD practice?
The practice location is 89 N Maple Ave, Ridgewood, NJ 07450-3235. The office can be reached at 201-797-8899 (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 1477151041 directly on the NPPES registry website.