Active NPIIndividual provider

Marina Ebrahim, DMD

Dentist, General Practice in North Brunswick, New Jersey

NPI Number1619719994
Practice location
746 Livingston Ave, North Brunswick, NJ 08902-2385
Fax
—
Last updated
June 10, 2024

Marina Ebrahim is a Dentist, General Practice based in North Brunswick, NJ. Marina Ebrahim practices in North Brunswick, NJ and has the professional credentials of DMD. The NPI Number for Marina Ebrahim is 1619719994 and holds a License No. 22DI03033200 (NJ). The current practice location address for Marina Ebrahim is 746 Livingston Ave, North Brunswick, NJ 08902-2385 and can be reached out via phone at 732-846-8383.

Provider Profile Details

NPI Number
1619719994
Provider Name
Marina Ebrahim
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
746 Livingston Ave, North Brunswick, NJ 08902-2385
Phone Number
732-846-8383
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
June 10, 2024
Last Update Date
June 10, 2024
Certification Date
April 27, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
746 Livingston Ave
North Brunswick, NJ 08902-2385
Zip
08902-2385
Phone Number
732-846-8383
North Brunswick, NJ 08902Get directions →

Provider Business Mailing Address Details

Address
Po Box 3457
Bayonne, NJ 07002
City
Bayonne
State
NJ
Zip
07002
Phone Number
201-470-4458

License Information

License Number
22DI03033200
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · 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 Marina Ebrahim, DMD?

The NPI number of Marina Ebrahim, DMD is 1619719994. It was assigned on June 10, 2024 and is currently active in the NPPES registry.

What is the specialty of Marina Ebrahim, DMD?

Marina Ebrahim, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI03033200.

Where does Marina Ebrahim, DMD practice?

The practice location is 746 Livingston Ave, North Brunswick, NJ 08902-2385. The office can be reached at 732-846-8383 (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 1619719994 directly on the NPPES registry website.

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