Active NPI
Priyanka Ami Patel
- Pediatric Dentistry
- Scarsdale, NY
National Provider Identifier
1083270441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 0611993
- Practice address
- 777 White Plains Rd
Scarsdale, NY 10583-5000 - Phone
- (914) 472-9090
- NPI assigned
- May 11, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 0611993 | NY | Primary |
Addresses
Primary practice location
777 White Plains Rd
Scarsdale, NY 10583-5000
Mailing address
1 Martine Ave Apt 613
White Plains, NY 10606-4607
Phone (843) 453-9613
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 |
|---|---|---|---|
| 0611993 | NY | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632700800000",
"number": "1083270441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MARTINE AVE APT 613",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106064607",
"telephone_number": "843-453-9613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 WHITE PLAINS RD",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105835000",
"telephone_number": "914-472-9090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PRIYANKA",
"middle_name": "AMI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-11",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "0611993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scarsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.