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ODAI ABUSHANAB DMD
NPI 1053818302
Dentist - Oral and Maxillofacial Surgery in Newark, NJ

Active since April 11, 2018PECOS Enrolled
110 BERGEN ST, NEWARK, NJ 07103(973) 972-3126 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 4, 2024, Apr 11, 2018 (2 updates tracked since 2018).

About Odai Abushanab Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ODAI ABUSHANAB DMD (NPI 1053818302) is an individual oral and maxillofacial surgery provider in Newark, New Jersey, licensed in New Jersey (22DI02760901) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053818302
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameODAI ABUSHANABCredential: DMD
Location Address110 BERGEN STNewark, NJ 07103-2495
Mailing Address82 Smithtown RdBudd Lake, NJ 07828-1932
Phone(973) 972-3126
Sole ProprietorNo
Enumeration DateApril 11, 2018
Last NPPES UpdateJune 4, 20242 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
✔ NPI 1053818302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NJ · 22DI02760901
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
110 BERGEN ST, Newark, NJ 07103
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Odai Abushanab Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEAH SOOYEON NAM DMD
Student in an Organized Health Care Education/Training Program
110 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-9592
DR. THOMAS GREGORY KEELING D.M.D.
Student in an Organized Health Care Education/Training Program
110 BERGEN ST, C723
NEWARK, NJ 07103
Essex County (973) 972-4621
DR. CHERYL LYNN BIBER D.M.D.
Dentist (General Practice)
110 BERGEN ST, UMDNJ - NEW JERSEY DENTAL SCHOOL
NEWARK, NJ 07103
Essex County (973) 972-0833
KEVIN LE DDS
Student in an Organized Health Care Education/Training Program
110 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-3126
DR. JULYANA GOMES ZAGURY DMD, MSD
Dentist (General Practice)
110 BERGEN ST, RM D860
NEWARK, NJ 07103
Essex County (973) 972-7210
CLAUDIA SOTO
Dentist (General Practice)
110 BERGEN ST
NEWARK, NJ 07103
Essex County (862) 245-1222
DR. STEVEN MARK BAUM
Dentist (Oral and Maxillofacial Surgery)
110 BERGEN ST, UMDNJ DS C-768
NEWARK, NJ 07103
Essex County (973) 972-4717
DR. REBECCA REED DMD
Dentist
110 BERGEN ST, SUITE 7700
NEWARK, NJ 07103
Essex County (972) 972-2444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Odai Abushanab's NPI number?

The NPI number for Odai Abushanab is 1053818302. It was assigned to this individual provider in the NPPES registry on April 11, 2018.

Where is Odai Abushanab located?

Odai Abushanab practices at 110 Bergen St, Newark, NJ 07103. The listed phone number is (973) 972-3126.

What is Odai Abushanab's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Odai Abushanab enrolled in Medicare?

Yes. Odai Abushanab is registered in the Medicare PECOS enrollment system.

What insurance does Odai Abushanab accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Odai Abushanab as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Odai Abushanab was last updated on June 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.