Active NPIIndividual providerSole proprietor

Mohannad Abboushi, DDS

Dentist in Bloomfield, New Jersey

NPI Number1689350837
Practice location
194 Broad St, Bloomfield, NJ 07003-4394
Fax
—
Last updated
July 25, 2024

Mohannad Abboushi is a Dentist based in Bloomfield, NJ. Mohannad Abboushi practices in Bloomfield, NJ and has the professional credentials of DDS. The NPI Number for Mohannad Abboushi is 1689350837 and holds a License No. 22DI02985800 (NJ). The current practice location address for Mohannad Abboushi is 194 Broad St, Bloomfield, NJ 07003-4394 and can be reached out via phone at 973-250-6400.

Provider Profile Details

NPI Number
1689350837
Provider Name
Mohannad Abboushi
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
194 Broad St, Bloomfield, NJ 07003-4394
Phone Number
973-250-6400
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
June 23, 2023
Last Update Date
July 25, 2024
Certification Date
July 25, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
194 Broad St
Bloomfield, NJ 07003-4394
Zip
07003-4394
Phone Number
973-250-6400
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
194 Broad St
Bloomfield, NJ 07003-4394
City
Bloomfield
State
NJ
Zip
07003-4394
Phone Number
973-250-6400

License Information

License Number
22DI02985800
License State
NJ
Taxonomy
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 Mohannad Abboushi, DDS?

The NPI number of Mohannad Abboushi, DDS is 1689350837. It was assigned on June 23, 2023 and is currently active in the NPPES registry.

What is the specialty of Mohannad Abboushi, DDS?

Mohannad Abboushi, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI02985800.

Where does Mohannad Abboushi, DDS practice?

The practice location is 194 Broad St, Bloomfield, NJ 07003-4394. The office can be reached at 973-250-6400 (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 1689350837 directly on the NPPES registry website.

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