Active NPI
Shruti Patel, DDS
- Pediatric Dentistry
- Montville, NJ
National Provider Identifier
1134827512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 22DI03064000
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI03064000 | NJ | MD | Pediatric 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.