Individual provider Active NPI

Sanjay C Jagani, D.D.S.

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1073725131
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
049206 Issued in NY
Practice address
12 E 41St St
Suite 1002
New York, NY 10017-6221
Phone
(212) 532-6300
Fax
(609) 259-7061
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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 049206 NY Primary

Addresses

Primary practice location

12 E 41St St
Suite 1002
New York, NY 10017-6221

Mailing address

14 Main St
Bank Plaza
Robbinsville, NJ 08691-1410
Phone (609) 259-7061

Other practice location 1

14 Main St,
Bank Plaza
Robbinsville, NJ 08691-1410
Phone (609) 259-7061

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
049206NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ashford Dental Care,LLC General Practice 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1073725131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MAIN ST",
            "address_2": "BANK PLAZA",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086911410",
            "telephone_number": "609-259-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E 41ST ST",
            "address_2": "SUITE 1002",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176221",
            "telephone_number": "212-532-6300",
            "fax_number": "609-259-7061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Main St,",
            "address_2": "Bank Plaza",
            "address_purpose": "LOCATION",
            "city": "Robbinsville",
            "state": "NJ",
            "postal_code": "086911410",
            "country_code": "US",
            "telephone_number": "609-259-7061",
            "fax_number": "609-259-7061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAGANI",
        "first_name": "SANJAY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2021-11-08",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.