Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Matin Mikayil Imanguli, MD, DDS

Individual provider Dentist · NPI 1114065406

Dr. Matin Mikayil Imanguli, MD, DDS is an Otolaryngology in Edison, New Jersey. Graduated from University of Chicago, Pritzker School of Medicine in 2012, 14 years ago. Practices with Hackensack Meridian Health Medical Group - Specialty Care PC, a 1,897-clinician group and accepts Medicare assignment. Licensed in Alabama, New Jersey, Texas and Virginia.

Years since qualifying
14
Trained at
University of Chicago, Pritzker School of Medicine
Licensed in
AL, NJ, TX, VA
In the registry since
2007
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

102 James St Ste 302
Edison, NJ 08820-3970
Phone: (732) 635-9300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery within the Head & Neck (Otolaryngology) Physician (primary) Taxonomy 207YX0007X · Licence 25MA10294300 (NJ)
Dentist Taxonomy 122300000X · Licence 0401411071 (VA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence Q0461 (TX)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 36041 (AL)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 25MA10294300 (NJ)

Record details

NPI number1114065406
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , DDS
Sole proprietorYes
NPI enumeratedFebruary 1, 2007
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Hackensack Meridian Health Medical Group - Specialty Care Pc — 1897 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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