Prasannata Pradhan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DR03193 Issued in NJ

Practice address

412 Summit Ave
Jersey City, NJ 07306-0730

Phone

(201) 217-8761

NPI assigned

Aug 18, 2017

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Ivory Dental Care

  • Dental Clinic/Center
  • Yonkers, NY
  • NPI 1336996750
  NPD Authorized official
• P Pradhan DDS PLLC

  • Dental Clinic/Center
  • Yonkers, NY
  • NPI 1285460212
  NPD Authorized official

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503014400000",
    "number": "1124544325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HURON AVE APT 8D",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 SUMMIT AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073060730",
            "telephone_number": "201-217-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADHAN",
        "first_name": "PRASANNATA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2017-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DR03193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hamutal Posklinsky Shehory
• Raja Mani Teja Potluri
• Sree Vishnu Potluri
• Michele Poznanski
• Viraj Prabhu, DO
• Pranay Inc
• Adam Pratomo, PT
• Abimbola B Pratt, M.D.
• Precise Anesthesia Care, LLC
• Precise Pain Medicine, LLC

• General Practice Dentistry in Jersey City, NJ
• Providers in Jersey City, 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 Aug 18, 2017; 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.