Individual provider Active NPI

Meera Sahni, DMD, MS

  • Periodontics
  • Egg Harbor Township, NJ
National Provider Identifier
1104478189
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
22DI02762900 Issued in NJ
Practice address
3069 English Creek Ave Ste 101
Egg Harbor Township, NJ 08234-9708
Phone
(609) 646-8443
NPI assigned
Jul 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DI02762900 NJ
Periodontics 1223P0300X 22DI02762900 NJ Primary

Addresses

Primary practice location

3069 English Creek Ave Ste 101
Egg Harbor Township, NJ 08234-9708

Mailing address

56 Wardell Ave
Rumson, NJ 07760-1054

Other practice location 1

1910 Marlton Pike E Ste 2
Cherry Hill, NJ 08003-2123
Phone (856) 428-4746

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
22DI02762900NJMDPeriodontist
DI02762900NJMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Enviable Gums Periodontics Current Accepting new patients
South Jersey Periodontics PC Periodontics Past Accepting new patients
Periodontal Consultants, PA Periodontics PastSince Aug 11, 2019 Accepting new patients
Gregory M. Shupik, D.M.D., P.a. Periodontics Past Accepting new patients

Organizations & group practices 4

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": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1104478189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 WARDELL AVE",
            "city": "RUMSON",
            "state": "NJ",
            "postal_code": "077601054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3069 ENGLISH CREEK AVE STE 101",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082349708",
            "telephone_number": "609-646-8443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 Marlton Pike E Ste 2",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080032123",
            "country_code": "US",
            "telephone_number": "856-428-4746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAHNI",
        "first_name": "MEERA",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "DI02762900",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI02762900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.