Individual provider Active NPI

Radhika Ruparel

  • General Practice Dentistry
  • Hillside, NJ
National Provider Identifier
1083504609
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI03103500 Issued in NJ
Practice address
1100 N Broad St
Hillside, NJ 07205-2401
Phone
(732) 318-7121
NPI assigned
Jul 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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 22DI03103500 NJ Primary

Addresses

Primary practice location

1100 N Broad St
Hillside, NJ 07205-2401

Mailing address

273 River Rd
Piscataway, NJ 08854-3540

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
22DI03103500NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Community Smiles of Elizabeth PA General Practice CurrentSince Jul 13, 2025 Accepting new patients

Locations

1100 N Broad St
Hillside, NJ 07205
Phone (908) 224-0427

69 1st Ave
Raritan, NJ 08869
Phone (800) 631-5250

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": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1083504609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 RIVER RD",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N BROAD ST",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072052401",
            "telephone_number": "732-318-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPAREL",
        "first_name": "RADHIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI03103500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillside, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.