Individual provider Active NPI

Yashashwini Bangalore Marappa, DDS

  • Pediatric Dentistry
  • Mahwah, NJ
National Provider Identifier
1184018061
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
06695 Issued in NJ
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1184018061MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128000567 NY Practitioner - Dentist 3476890377 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02635100NJMDDentist
059705NYMDDentist
06695NJMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Nov 16, 2024 Accepting new patients
Amara Dental of Mahwah, P.a. Dentist PastSince Jan 26, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.