Active NPI
Yashashwini Bangalore Marappa, DDS
- Pediatric Dentistry
- Mahwah, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 06695
- Practice address
- 156 Ramapo Valley Rd
Mahwah, NJ 07430-1199 - Phone
- (201) 529-9000
- Fax
- (201) 529-2633
- NPI assigned
- Mar 27, 2015
- Last updated
- Apr 23, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02635100 | NJ | |
| Dentist | 122300000X | 059705 | NY | |
| Pediatric Dentistry | 1223P0221X | 06695 | NJ | Primary |
Addresses
Primary practice location
156 Ramapo Valley Rd
Mahwah, NJ 07430-1199
Mailing address
156 Ramapo Valley Rd
Mahwah, NJ 07430-1199
Phone (201) 529-9000
Other practice location 1
234 E 149th St
Bronx, NY 10451-5589
Phone (718) 579-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184018061 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02635100 | NJ | MD | Dentist |
| 059705 | NY | MD | Dentist |
| 06695 | NJ | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| Amara Dental of Mahwah, P.a. | Dentist | Past | Accepting new patients |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
Interoperability endpoints
- ybangaloremarappa4366283@nychhc.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
dba Jacobi Medical Center
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1184018061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 RAMAPO VALLEY RD",
"city": "MAHWAH",
"state": "NJ",
"postal_code": "074301199",
"telephone_number": "201-529-9000",
"fax_number": "201-529-2633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 RAMAPO VALLEY RD",
"city": "MAHWAH",
"state": "NJ",
"postal_code": "074301199",
"telephone_number": "201-529-9000",
"fax_number": "201-529-2633"
}
],
"practiceLocations": [
{
"address_1": "234 E 149th St",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104515589",
"country_code": "US",
"telephone_number": "718-579-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANGALORE MARAPPA",
"first_name": "YASHASHWINI",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-27",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02635100",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "059705",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "06695",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184018061",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mahwah, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.