Era Bakshi Balwani, D.D.S. – Dentist in Clinton, NJ

Key facts

NPI: 1043790447
Entity type: Individual (NPI type 1)
Primary specialty: Dentist 122300000X
License: 2901022791 (MI)
Practice address: 1630 NJ-31
Clinton, NJ 08809
Phone: (908) 730-8880
NPI assigned: Aug 16, 2018
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Moncrief Army Community Hospital Military/U.S. Coast Guard Outpatient Clinic/Center · Columbia, SC · NPI 1932304946

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
2901022791	MI	MD	Dentist
22DI02905100	NJ	MD	Dentist

Practice roles

Organization	Specialty	Status	New patients
Moncrief Army Community Hospital		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist	122300000X	22DI02905100	NJ
Dentist	122300000X	2901022791	MI	Yes

Addresses

Primary practice location

1630 NJ-31
Clinton, NJ 08809

Mailing address

134 NJ-31
Apt 123
Flemington, NJ 08822
Phone (734) 716-9789

Other practice location 1

48901 Saltz Road
Canton, MI 48187
Phone (734) 716-9789

Other practice location 2

4590 Strom Thurmond Blvd
Columbia, SC 29207-5305
Phone (803) 751-5178

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 10, 2022.

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1043790447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 NJ-31",
            "address_2": "APT 123",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "08822",
            "telephone_number": "734-716-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 NJ-31",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "08809",
            "telephone_number": "908-730-8880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48901 Saltz Road",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "48187",
            "country_code": "US",
            "telephone_number": "734-716-9789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4590 Strom Thurmond Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292075305",
            "country_code": "US",
            "telephone_number": "803-751-5178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALWANI",
        "first_name": "ERA",
        "middle_name": "BAKSHI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02905100",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NJ

All providers in Clinton, NJ · Dentist in New Jersey

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.