Organization Active NPI

Sara Raja DMD PC

  • Dental Clinic/Center
  • New York, NY
National Provider Identifier
1104762699
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SARA RAJA DMD PC
Doing business as
Indigo Dental Group
Practice address
11 Hanover SQ Ste 503
New York, NY 10005-2820
Phone
(646) 741-9347
Fax
(646) 741-9635
NPI assigned
Apr 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Dr. Sara Raja, DMDNPI 1497149132
Title
Owner/Dentist
Phone
(571) 594-1631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

11 Hanover SQ Ste 503
New York, NY 10005-2820

Mailing address

11 Hanover SQ Ste 503
New York, NY 10005-2820
Phone (646) 741-9347

Other names 1

  • Indigo Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

11 Hanover Sq
Ste 503
New York, NY 10005
Phone (212) 344-1007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1104762699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HANOVER SQ STE 503",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100052820",
            "telephone_number": "646-741-9347",
            "fax_number": "646-741-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HANOVER SQ STE 503",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100052820",
            "telephone_number": "646-741-9347",
            "fax_number": "646-741-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA RAJA DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "RAJA",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "571-594-1631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indigo Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 27, 2026; 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.