Active NPI
Santvana Vyas, DDS
- Dentist
- West New York, NJ
National Provider Identifier
1053964809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02767700
- Practice address
- 6020 Broadway
FL#2
West New York, NJ 07093 - Phone
- (484) 548-4687
- NPI assigned
- Jul 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 060838-01 | NY | |
| Dentist | 122300000X | 22DI02767700 | NJ | Primary |
Addresses
Primary practice location
6020 Broadway
FL#2
West New York, NJ 07093
Mailing address
6020 Broadway
FL#2
West New York, NJ 07093
Phone (484) 548-4687
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02767700 | NJ | MD | Dentist |
| 060838-01 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1053964809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6020 BROADWAY",
"address_2": "FL#2",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "07093",
"telephone_number": "484-548-4687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6020 BROADWAY",
"address_2": "FL#2",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "07093",
"telephone_number": "484-548-4687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VYAS",
"first_name": "SANTVANA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-22",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "060838-01",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02767700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West New York, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.