Active NPIIndividual provider

Nishat A Shahabuddin, DMD

Dentist, Orthodontics and Dentofacial Orthopedics in North Bergen, New Jersey

NPI Number1992319537
Practice location
3123 Kennedy Blvd, North Bergen, NJ 07047-2378
Fax
—
Last updated
September 1, 2020

Nishat Anbar Shahabuddin is a Dentist, Orthodontics and Dentofacial Orthopedics based in North Bergen, NJ. Nishat Anbar Shahabuddin practices in North Bergen, NJ and has the professional credentials of DMD. The NPI Number for Nishat Anbar Shahabuddin is 1992319537 and holds a License No. 22DI02811203 (NJ). The current practice location address for Nishat Anbar Shahabuddin is 3123 Kennedy Blvd, North Bergen, NJ 07047-2378 and can be reached out via phone at 201-662-0662.

Provider Profile Details

NPI Number
1992319537
Provider Name
Nishat Anbar Shahabuddin
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
3123 Kennedy Blvd, North Bergen, NJ 07047-2378
Phone Number
201-662-0662
Sole Proprietor
No
Provider Enumeration Date
September 1, 2020
Last Update Date
September 1, 2020
Certification Date
August 31, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
3123 Kennedy Blvd
North Bergen, NJ 07047-2378
Zip
07047-2378
Phone Number
201-662-0662
North Bergen, NJ 07047Get directions →

Provider Business Mailing Address Details

Address
306 W 48TH St Apt 26A
New York, NY 10036-1385
City
New York
State
NY
Zip
10036-1385
Phone Number
917-757-0981

License Information

License Number
22DI02811203
License State
NJ
Taxonomy
Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · 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 Nishat A Shahabuddin, DMD?

The NPI number of Nishat A Shahabuddin, DMD is 1992319537. It was assigned on September 1, 2020 and is currently active in the NPPES registry.

What is the specialty of Nishat A Shahabuddin, DMD?

Nishat A Shahabuddin, DMD is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in NJ under license number 22DI02811203.

Where does Nishat A Shahabuddin, DMD practice?

The practice location is 3123 Kennedy Blvd, North Bergen, NJ 07047-2378. The office can be reached at 201-662-0662 (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 1992319537 directly on the NPPES registry website.

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