Dr Tajul Islam, DDS is a medicare enrolled "Dentist - General Practice" provider in Tobyhanna, Pennsylvania. His current practice location is
300 Community Drive, Suite C-2, Tobyhanna, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 243-8777.
Dr Tajul Islam is licensed to practice in Pennsylvania (license number DS038535) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1952430332.
Healthcare Provider's Profile
| Full Name | Dr Tajul Islam |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 300 Community Drive, Tobyhanna, Pennsylvania |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1952430332
- Provider Enumeration Date: 03/03/2007
- Last Update Date: 01/27/2014
Medicare PECOS Information:
- PECOS PAC ID: 5395039754
- Enrollment ID: I20240103002753
Medical Identifiers
Medical identifiers for Dr Tajul Islam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952430332 | NPI | - | NPPES |
| 102593018 | Medicaid | PA | |
| 9179252 | Other | NY | DORAL DENTAL IPA OF NY |
| 02392501 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 050581 (New York) | Secondary |
| 1223G0001X | Dentist - General Practice | DS038535 (Pennsylvania) | Primary |
| 1223G0001X | Dentist - General Practice | 080581 (New York) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tajul Islam is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Tajul Islam, DDS
300 Community Drive, Suite C-2,
Tobyhanna, PA 18466-8992
Ph: (570) 243-8777 | Dr Tajul Islam, DDS
300 Community Drive, Suite C-2,
Tobyhanna, PA 18466-8992
Ph: (570) 243-8777 |
Reviews and Comments