Individual provider Active NPI

Shivam Jauhar, DDS

  • General Practice Dentistry
  • Holbrook, NY
National Provider Identifier
1164286282
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
065184-01 Issued in NY
Practice address
5801 Sunrise Hwy
Building 6, Unit # B6-500
Holbrook, NY 11741-4805
Phone
(516) 849-2360
NPI assigned
Feb 8, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 065184-01 NY Primary

Addresses

Primary practice location

5801 Sunrise Hwy
Building 6, Unit # B6-500
Holbrook, NY 11741-4805

Mailing address

5801 Sunrise Hwy
Building 6, Unit # B6-500
Holbrook, NY 11741-4805
Phone (516) 849-2360

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

Interoperability endpoints

  • Direct secure messaging: sjauhar377142@northwell.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1164286282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 SUNRISE HWY",
            "address_2": "BUILDING 6, UNIT # B6-500",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414805",
            "telephone_number": "516-849-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 SUNRISE HWY",
            "address_2": "BUILDING 6, UNIT # B6-500",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414805",
            "telephone_number": "516-849-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAUHAR",
        "first_name": "SHIVAM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-08",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "065184-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.