Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mamoon Jallad, DMD

Student in an Organized Health Care Education/Training Program in Stony Brook, NY · enumerated 2024.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1447016209

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Registry record

Entity type Individual (Type 1)

Name Mamoon Jallad

Credential DMD

Sex Male

Practice address 101 South Drive, Stony Brook, NY, 11794

Phone (631) 632-8989

Enumeration date Feb 27, 2024

Last updated in NPPES Feb 27, 2024

Taxonomy & licenses

390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Primary

DMD · Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees. About the DMD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Mamoon Jallad?

Mamoon Jallad is registered in NPPES with the primary taxonomy of Student in an Organized Health Care Education/Training Program. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-27.