Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maryam Farag

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1295076255

Maryam Farag is an Oral Surgery in Rutherford, New Jersey. Graduated from Tufts University School of Dental Medicine in 2013, 13 years ago. Practices with Weill Medical College of Cornell, a 2,031-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
13
Trained at
Tufts University School of Dental Medicine
Licensed in
NY
In the registry since
2013
Specialties on file
2

Practice location Address checks out

41 Preble Pl
Rutherford, NJ 07070-2610
Phone: (201) 316-5423
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 0238832 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1295076255
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 14, 2013
Last updated in NPPESDecember 2, 2020
Certification dateDecember 2, 2020
Mailing address41 Preble Pl, Rutherford, NJ 07070-2610

Medicare enrollment

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

Medicare specialtyORAL SURGERY
Medical schoolTUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE
Graduated 2013 (13 years in practice)
Group practice Weill Medical College Of Cornell — 2031 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Rutherford