Active NPI
Neetha Ravindra, DDS
- General Practice Dentistry
- North Brunswick, NJ
National Provider Identifier
1114014925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DI019956
- Practice address
- 977 Livingston Ave
Dental Health Associates PA
North Brunswick, NJ 08902 - Phone
- (732) 418-9800
- Fax
- (732) 418-0046
- NPI assigned
- Oct 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DI019956 | NJ | Primary |
Addresses
Primary practice location
977 Livingston Ave
Dental Health Associates PA
North Brunswick, NJ 08902
Mailing address
320 South Main Street
Dental Health Associates PA Corporate Office 2ND FLR
Phillipsburg, NJ 08865
Phone (908) 387-6120
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 |
|---|---|---|---|
| DI019956 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Health Associates PA | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- North Brunswick, NJ
- NPI 1447339296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114014925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 SOUTH MAIN STREET",
"address_2": "DENTAL HEALTH ASSOCIATES PA CORPORATE OFFICE 2ND FLR",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "08865",
"telephone_number": "908-387-6120",
"fax_number": "908-387-8322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "977 LIVINGSTON AVE",
"address_2": "DENTAL HEALTH ASSOCIATES PA",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "08902",
"telephone_number": "732-418-9800",
"fax_number": "732-418-0046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVINDRA",
"first_name": "NEETHA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "DI019956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.