DENTA GLOW CORP
NPI 1679394704
Clinic/Center - Dental in Jersey City, NJ
About Denta Glow Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DENTA GLOW CORP (NPI 1679394704) is a healthcare organization registered as a dental in Jersey City, New Jersey and active in the NPI registry since October 2024. The organization lists Asmaa Abdeen, Dentist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Denta Glow Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Denta Glow Corp, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Denta Glow Corp's NPI number?
The NPI number for Denta Glow Corp is 1679394704. It was assigned to this organization in the NPPES registry on October 21, 2024.
Where is Denta Glow Corp located?
Denta Glow Corp is located at 2787 John F Kennedy Blvd # A13, Jersey City, NJ 07306. The listed phone number is (551) 242-4420.
What is Denta Glow Corp's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
Is Denta Glow Corp enrolled in Medicare?
Yes. Denta Glow Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Denta Glow Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Denta Glow Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Denta Glow Corp was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Denta Glow Corp · NPI 1679394704
Dental organization in Jersey City, New Jersey. Organization record, active in the CMS NPPES registry since October 21, 2024.
## Identity
- **NPI:** 1679394704 (Entity type: Organization)
- **Enumerated:** October 21, 2024
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Organization subpart:** No
- **Authorized official:** Asmaa Abdeen, DENTIST
## Practice location
- **Address:** 2787 JOHN F KENNEDY BLVD # A13, Jersey City, NJ 07306-5531
- **Phone:** (551) 242-4420
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dentist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1679394704) · Data from the CMS NPPES public registry.