Active NPIIndividual providerSole proprietor

Dr. Mariam Beshara, DMD

Dentist in Prospect Park, New Jersey

NPI Number1588194914
Practice location
222 Haledon Ave, Prospect Park, NJ 07508-2024
Fax
—
Last updated
March 17, 2018

Mariam Beshara is a Dentist based in Prospect Park, NJ. Mariam Beshara practices in Prospect Park, NJ and has the professional credentials of DMD. The NPI Number for Mariam Beshara is 1588194914 and holds a License No. 22DI02687600 (NJ). The current practice location address for Mariam Beshara is 222 Haledon Ave, Prospect Park, NJ 07508-2024 and can be reached out via phone at 973-652-3093.

Provider Profile Details

NPI Number
1588194914
Provider Name
Mariam Beshara
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
222 Haledon Ave, Prospect Park, NJ 07508-2024
Phone Number
973-652-3093
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
June 18, 2017
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
222 Haledon Ave
Prospect Park, NJ 07508-2024
Zip
07508-2024
Phone Number
973-652-3093
Prospect Park, NJ 07508Get directions →

Provider Business Mailing Address Details

Address
126 Hopper Avenue
Nutley, NJ 07110
City
Nutley
State
NJ
Zip
07110
Phone Number
973-652-3093

License Information

License Number (1)
22DI02687600
License State (1)
NJ
Taxonomy (1)
Dentist · 122300000X
License Number (2)
pending
License State (2)
NJ
Taxonomy (2)
Dentist · 122300000X · 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. Mariam Beshara, DMD?

The NPI number of Dr. Mariam Beshara, DMD is 1588194914. It was assigned on June 18, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Mariam Beshara, DMD?

Dr. Mariam Beshara, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI02687600.

Where does Dr. Mariam Beshara, DMD practice?

The practice location is 222 Haledon Ave, Prospect Park, NJ 07508-2024. The office can be reached at 973-652-3093 (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 1588194914 directly on the NPPES registry website.

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