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RABIE M SHANTI DMD MD NPI 1811202633


NPI Information

NPI: 1811202633
Provider Name: RABIE M SHANTI, DMD, MD
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Individual
Organization: UNIVERSITY OF PENN MEDICAL GROUP

PECOS Registration: Yes

Address:
110 BERGEN ST RM B-854
NEWARK, NJ
ZIP 07103
Phone: (739) 972-3126
Get Directions

Rabie M Shanti, DMD, MD is an oral maxillofacial surgery in Newark, NJ with 13 years of experience. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. Rabie M Shanti, DMD, MD NPI is 1811202633. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

110 BERGEN ST RM B-854
NEWARK, NJ
ZIP 07103-495
Phone: (739) 972-3126
Fax: (973) 972-7322

The NPI 1811202633 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/17/2010 and was last updated on 8/4/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204E00000XOral & Maxillofacial SurgeryMD458380PENNSYLVANIANo
2207Y00000XOtolaryngologyMD458380PENNSYLVANIANo
3207YS0012XOtolaryngologySleep MedicineMD458380PENNSYLVANIANo
4204E00000XOral & Maxillofacial Surgery22DI02438500NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.