Veena Kothawar

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02646300 Issued in NJ

Practice address

30 Waterside PLZ Apt 3F
New York, NY 10010-2624

Phone

(609) 815-9803

NPI assigned

Mar 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tooth-Si LLC

  • Dentist
  • Guttenberg, NJ
  • NPI 1215892278
  NPD Authorized official

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1033504840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WATERSIDE PLZ APT 3F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102624",
            "telephone_number": "609-815-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WATERSIDE PLZ APT 3F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102624",
            "telephone_number": "609-815-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTHAWAR",
        "first_name": "VEENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02646300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Komal Kothari, MD,MBA
• Manoj Ratilal Kothari
• Meghna Kothari
• Niraj Rohit Kothari, M.D.
• Puja Akshay Kothari, P.T.
• Philip George Kotick, D.D.S.
• Alan L Kotin, MD
• Neal Michael Kotin, M.D.
• Jessica Brooke Kotkin, M.S. SLP
• Martin Kotlar, DC

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.