Healthcare Provider Details

I. General information

NPI: 1376469882
Provider Name (Legal Business Name): ZOYA BATOOL HASSAN DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 US HIGHWAY 1 UNIT 221
NEW BRUNSWICK NJ
08901-4148
US

IV. Provider business mailing address

11 US HIGHWAY 1 UNIT 221
NEW BRUNSWICK NJ
08901-4148
US

V. Phone/Fax

Practice location:
  • Phone: 732-621-7190
  • Fax:
Mailing address:
  • Phone: 732-621-7190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number22DI03154900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: