Individual provider Active NPI

Malay T Parekh, DDS

  • Dentist
  • East Longmeadow, MA
National Provider Identifier
1023701620
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1859757 Issued in MA
Practice address
250 N Main St # a
East Longmeadow, MA 01028-1834
Phone
(413) 224-1493
NPI assigned
May 30, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1859757 MA Primary

Addresses

Primary practice location

250 N Main St # a
East Longmeadow, MA 01028-1834

Mailing address

204 Mary Esther Dr
Enfield, CT 06082-2158
Phone (732) 668-3948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231025000778 MA Order and Referring Only - DentistPractitioner - Dentist 5597111732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1859757MAMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1023701620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MARY ESTHER DR",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060822158",
            "telephone_number": "732-668-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N MAIN ST # A",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281834",
            "telephone_number": "413-224-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAREKH",
        "first_name": "MALAY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.