Anjana Gowda, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02279400 Issued in NJ

Practice address

145 Brighton Ave
Long Branch, NJ 07740-5338

Phone

(732) 229-3698

NPI assigned

Nov 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1073689725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CARDINAL DR",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085362061",
            "telephone_number": "862-251-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 BRIGHTON AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077405338",
            "telephone_number": "732-229-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWDA",
        "first_name": "ANJANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036359",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02279400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101210506",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0423254",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michal Gomulka, MD
• David Gonzalez, M.D.
• Good Form Physical Therapy
• Jamie Goodwin-Uhler
• Madeline Gordon
• Robert A Graebe, MD
• Catherine Granatir, PT
• Kenneth Mark Granet, M.D.
• Keiron W Greaves, MD
• Sandra J Greco, M.D.

• General Practice Dentistry in Long Branch, NJ
• Providers in Long Branch, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.