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Deactivated NPI 1013184928 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Elassar , DMD

Dentist - General Practice • Caldwell, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Elassar has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 09, 2008
NPI Deactivation Date January 03, 2024
Total Practice Duration ~16 Years of Practice (2008 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Elassar, DMD was a registered Dentist - General Practice practicing in Caldwell, NJ. Throughout an active medical career spanning 16 years, Dr. Elassar provided care at the practice location at 501 BLOOMFIELD AVE until profile deactivation on 2024-01-03.

Practice Location & Contact Primary Location

Practice Address

501 Bloomfield Ave
Suite 2e

Caldwell, NJ 070065427

Telephone 9732281333
Fax 9732281334
Associated Practice Facility / Clinic
🏢 Supreme Ortho Fitting, Llc Facility NPI 1770127540

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Caldwell, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
10 Specialists

Practicing in Caldwell, NJ (4316 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NJ 22DI01676200

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 03, 2024

Record deactivated on January 03, 2024

NPI Profile Active May 09, 2008

NPI status registered as active in NPPES database

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Updated Practice Location May 09, 2008

Registered at 501 BLOOMFIELD AVE, SUITE 2E, CALDWELL, NJ 070065427 (Tel: 9732281333)

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Updated Business Mailing Address May 09, 2008

Registered at 501 BLOOMFIELD AVE, SUITE 2E, CALDWELL, NJ 070065427 (Tel: 9732281333)

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Provider Name / Credentials Updated May 09, 2008

Recorded as MICHAEL ELASSAR, D.M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2008

Dentist (License #22DI01676200 in NJ)

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Initial NPI Registration & Enumeration May 09, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013184928
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2008
Last Update: May 09, 2008
Deactivation Date: January 03, 2024

Mailing Address

501 Bloomfield Ave, Suite 2e

Caldwell, NJ 070065427

Phone: 9732281333

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.