CMS-1500 Box 24J / 33a • NPI
1376163402
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
1223S0112X (CMS 19)
Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
Box 32 Service Location & ZIP+4
83 HANOVER RD STE 240, FLORHAM PARK, NJ, 07932-1508
✓ 9-Digit EDI 837 ZIP+4 (07932-1508)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1376163402 (RAYYAN ALAM) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
No
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1376163402)
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Chlorhexidine Gluconate Chlorhexidine Gluconate | 13 | 11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1376163402 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | RAYYAN ALAM |
| Plain-English Specialty | Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) NUCC Code: 1223S0112X (Dentist, Oral and Maxillofacial Surgery) |
| Certifying / Licensing Body | American Dental Association (ADA) / State Board of Dental Examiners |
| Practice Location Address | 83 HANOVER RD STE 240, FLORHAM PARK, NJ, 07932-1508 |
| Practice Telephone / Fax | Tel: (973) 360-1100 | Fax: (973) 360-1101 |
| Administrative Mailing Address | 10 CRANFORD RD, PLAINVIEW, NY, 11803-4004 |
| Enumeration & Last Sync | Enumerated: 2020-04-18 | CMS Record Updated: 2026-09-08 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in FLORHAM PARK
🔒 Are you RAYYAN ALAM? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (1223S0112X)
What Does Taxonomy Code 1223S0112X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1223S0112X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (RAYYAN ALAM)
Typical CPT / Diagnostic Procedures:- Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
- Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions
- Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
- Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
1223S0112X — Dentist, Oral and Maxillofacial SurgeryPlain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) | State: NJ | License: 22DI03012100 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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