Individual provider Active NPI

Shruti Patel, DDS

  • Pediatric Dentistry
  • Montville, NJ
National Provider Identifier
1134827512
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
22DI03064000 Issued in NJ
Practice address
150 River Rd Ste H2
Montville, NJ 07045-8922
Phone
(973) 917-3330
NPI assigned
Feb 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 22DI03064000 NJ Primary

Addresses

Primary practice location

150 River Rd Ste H2
Montville, NJ 07045-8922

Mailing address

1300 Avenue at Port Imperial Apt 439
Weehawken, NJ 07086-6967
Phone (908) 391-4085

Other practice location 1

200 Bridge Plaza Dr
Manalapan, NJ 07726-1729
Phone (732) 880-0404

Other practice location 2

390 Amwell Rd Ste 201
Hillsborough, NJ 08844-1244
Phone (908) 829-3345

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

LicenseStateTypeSpecialty
22DI03064000NJMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1134827512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 AVENUE AT PORT IMPERIAL APT 439",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070866967",
            "telephone_number": "908-391-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 RIVER RD STE H2",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070458922",
            "telephone_number": "973-917-3330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Bridge Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Manalapan",
            "state": "NJ",
            "postal_code": "077261729",
            "country_code": "US",
            "telephone_number": "732-880-0404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "390 Amwell Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Hillsborough",
            "state": "NJ",
            "postal_code": "088441244",
            "country_code": "US",
            "telephone_number": "908-829-3345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHRUTI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI03064000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.