Mohan Enjati, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI024274 Issued in NJ

Practice address

1540 US Highway 46
Little Falls, NJ 07424-1852

Phone

(732) 914-1039

Fax

(732) 914-8472

NPI assigned

Dec 30, 2009

Last updated

Dec 30, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1124358999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 HOOPER AVE",
            "address_2": "SUITE 201 B",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538361",
            "telephone_number": "732-914-1039",
            "fax_number": "732-914-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 US HIGHWAY 46",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241852",
            "telephone_number": "732-914-1039",
            "fax_number": "732-914-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENJATI",
        "first_name": "MOHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI024274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia N Dorman, OD
• Dr Ronna, LLC
• Drug Fair Group, Inc. (Drug Fair of Little Falls)
• Jill Eilert
• Asmaa Embaby
• Jennifer Ann Ethirveerasingam
• Meghan Fahy, M.S., CCC-SLP
• Karlo Angelo Fajardo
• Cassandra Diane Fallon, PHARM D
• Jeffrey Jason Farnese, MD

• General Practice Dentistry in Little Falls, NJ
• Providers in Little Falls, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.