KHADIJAH ISMAEL DMD
NPI 1063542587
Dentist - General Practice in Newark, NJ

Q: What is Khadijah Ismael's NPI number?

The NPI number for Khadijah Ismael is 1063542587. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Q: What is Khadijah Ismael's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Khadijah Ismael was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 06, 2007PECOS Enrolled

21 QUITMAN ST, NEWARK, NJ 07103(973) 424-4329(973) 824-2097 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Khadijah Ismael Dmd NPPES

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

KHADIJAH ISMAEL DMD (NPI 1063542587) is an individual general practice provider in Newark, New Jersey, licensed in New Jersey (22DI02314800) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063542587

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameKHADIJAH ISMAELCredential: DMD

Location Address21 QUITMAN STNewark, NJ 07103-4105

Mailing Address103 Borman AveAvenel, NJ 07001-2106 · (973) 979-6144

Phone(973) 424-4329

Fax(973) 824-2097

Sole ProprietorNo

Enumeration DateMarch 6, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1063542587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NJ · 22DI02314800

Definition

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.

21 QUITMAN ST, Newark, NJ 07103

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Other Identifiers 4

Medicaid0097829NJ

Medicare ID-Type Unspecified063701NJ · Group

Medicaid0097845NJ

Medicaid0097837NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Khadijah Ismael 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 3

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

CENTRAL JERSEY MEDICAL CENTER, INC

Clinic/Center (Federally Qualified Health Center (FQHC))

21 QUITMAN ST
NEWARK, NJ 07103

Essex County (973) 424-4329

JANICE BELL DMD

Dentist

21 QUITMAN ST
NEWARK, NJ 07103

Essex County (973) 424-4329

MOSHE ROSE MD

Psychiatry & Neurology (Psychiatry)

21 QUITMAN ST
NEWARK, NJ 07103

Essex County (973) 424-4329

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 Khadijah Ismael's NPI number?

The NPI number for Khadijah Ismael is 1063542587. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Khadijah Ismael located?

Khadijah Ismael practices at 21 Quitman St, Newark, NJ 07103. The listed phone number is (973) 424-4329.

What is Khadijah Ismael's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Khadijah Ismael enrolled in Medicare?

Yes. Khadijah Ismael is registered in the Medicare PECOS enrollment system.

What insurance does Khadijah Ismael accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Khadijah Ismael 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 Khadijah Ismael was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.