Individual provider Active NPI

Sunita Dhawlikar, MD

  • Anesthesiology Physician
  • Holmdel, NJ
National Provider Identifier
1053540419
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA06790000 Issued in NJ
Practice address
21 Oakcrest CT
Holmdel, NJ 07733-1162
Phone
(732) 859-1967
Fax
(732) 217-3581
NPI assigned
Jul 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA06790000 NJ Primary

Addresses

Primary practice location

21 Oakcrest CT
Holmdel, NJ 07733-1162

Mailing address

21 Oakcrest CT
Holmdel, NJ 07733-1162
Phone (732) 859-1967

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06790000NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monmouth Anesthesia Associates Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1053540419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 OAKCREST CT",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331162",
            "telephone_number": "732-859-1967",
            "fax_number": "732-217-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 OAKCREST CT",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331162",
            "telephone_number": "732-859-1967",
            "fax_number": "732-217-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAWLIKAR",
        "first_name": "SUNITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA06790000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.