Individual provider Active NPI

Sanjeev Kumar Satwah, D.M.D.

  • General Practice Dentistry
  • Kendall Park, NJ
National Provider Identifier
1063677169
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02358900 Issued in NJ
Practice address
3086 Route 27
Suite 12
Kendall Park, NJ 08824
Phone
(324) 227-7777
NPI assigned
Jul 28, 2008
Last updated
Jan 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02358900 NJ Primary

Addresses

Primary practice location

3086 Route 27
Suite 12
Kendall Park, NJ 08824

Mailing address

3086 State Route 27 Ste 12
Kendall Park, NJ 08824-1658
Phone (732) 422-7777

Other practice location 1

3900 Park Ave
Suite 103
Edison, NJ 08820-3032
Phone (732) 452-1270

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

LicenseStateTypeSpecialty
22DI02358900NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Diamond Dental Studio 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": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1063677169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3086 STATE ROUTE 27 STE 12",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241658",
            "telephone_number": "732-422-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3086 ROUTE 27",
            "address_2": "SUITE 12",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "08824",
            "telephone_number": "324-227-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Park Ave",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088203032",
            "country_code": "US",
            "telephone_number": "732-452-1270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SATWAH",
        "first_name": "SANJEEV",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-28",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02358900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kendall Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.

Verify at the official NPI Registry.