Individual provider Active NPI

Suni Bolar, DDS

  • Pediatric Dentistry
  • Somerset, NJ
National Provider Identifier
1215157979
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DI020551 Issued in NJ
Practice address
33 Clyde Rd Ste 104
Somerset, NJ 08873-5032
Phone
(732) 568-0233
Fax
(732) 568-0213
NPI assigned
Apr 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DI020551 NJ Primary

Addresses

Primary practice location

33 Clyde Rd Ste 104
Somerset, NJ 08873-5032

Mailing address

33 Clyde Rd Ste 104
Somerset, NJ 08873-5032
Phone (732) 568-0233

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

LicenseStateTypeSpecialty
DI020551NJMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Somerset Pediatric Dental Associates LLC Pediatric Dentistry Past Accepting new patients

Organizations & group practices 1

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215157979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CLYDE RD STE 104",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735032",
            "telephone_number": "732-568-0233",
            "fax_number": "732-568-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CLYDE RD STE 104",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735032",
            "telephone_number": "732-568-0233",
            "fax_number": "732-568-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLAR",
        "first_name": "SUNI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "DI020551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.