Active NPI
Gagan Uppal, D.M.D
- General Practice Dentistry
- South Plainfield, NJ
National Provider Identifier
1154487924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22D102234100
- Practice address
- 4917 Stelton Rd
South Plainfield, NJ 07080-1113 - Phone
- (908) 753-9901
- Fax
- (908) 753-9101
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- 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 | 22D102234100 | NJ | Primary |
Addresses
Primary practice location
4917 Stelton Rd
South Plainfield, NJ 07080-1113
Mailing address
14 Tantum CT
Bordentown, NJ 08505-4453
Phone (609) 668-9474
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 |
|---|---|---|---|
| 22D102234100 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283385600000",
"number": "1154487924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 TANTUM CT",
"city": "BORDENTOWN",
"state": "NJ",
"postal_code": "085054453",
"telephone_number": "609-668-9474",
"fax_number": "908-753-9101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4917 STELTON RD",
"city": "SOUTH PLAINFIELD",
"state": "NJ",
"postal_code": "070801113",
"telephone_number": "908-753-9901",
"fax_number": "908-753-9101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UPPAL",
"first_name": "GAGAN",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2010-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22D102234100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Urological Associates of Central Jersey, P.a.
- US Visionmed Partners Optometry of New Jersey LLC
- V G Byahatti MD Pramila Byahatti MD PA
- Kelly Lynn Van Zandt, LAMFT
- Varun Bhatia Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.