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Deactivated NPI 1710004437 Deactivated / Inactive NPI Male Practitioner

Dr. Joel E. Abraham , DMD

Dentist - General Practice • Park Ridge, 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. Joel Abraham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 26, 2007
NPI Deactivation Date June 18, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Joel Abraham, DMD was a registered Dentist - General Practice practicing in Park Ridge, NJ. Throughout an active medical career spanning 11 years, Dr. Abraham provided care at the practice location at 133 PARK AVE until profile deactivation on 2018-06-18.

Practice Location & Contact Primary Location

Practice Address

133 Park Ave

Park Ridge, NJ 076561323

Telephone 2013913135
Fax 2013916072

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Park Ridge, NJ

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

Practicing in Park Ridge, 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 22D100826700

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 June 18, 2018

Record deactivated on June 18, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 133 PARK AVE, PARK RIDGE, NJ 076561323 (Tel: 2013913135)

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Updated Business Mailing Address July 08, 2007

Registered at 133 PARK AVE, PARK RIDGE, NJ 076561323 (Tel: 2013913135)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOEL ABRAHAM, D.M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #22D100826700 in NJ)

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Initial NPI Registration & Enumeration March 26, 2007

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: 1710004437
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2007
Last Update: July 08, 2007
Deactivation Date: June 18, 2018

Mailing Address

133 Park Ave

Park Ridge, NJ 076561323

Phone: 2013913135

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.