Anup Muduli, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22D102160600 Issued in NJ

Practice address

180 Ramapo Valley Rd
Oakland, NJ 07436-2524

Phone

(201) 337-3797

Fax

(201) 337-8845

NPI assigned

Mar 29, 2006

Last updated

Mar 18, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Ramapo Oral & Maxillofacial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Oakland, NJ
  • NPI 1154653327
  Authorized official Same address or phone
• Bergen Dermatology Specialists PA

  • Dermatology Physician
  • Ridgewood, NJ
  • NPI 1598860280
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1215998315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 RAMAPO VALLEY RD",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362524",
            "telephone_number": "201-337-3797",
            "fax_number": "201-337-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 RAMAPO VALLEY RD",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362524",
            "telephone_number": "201-337-3797",
            "fax_number": "201-337-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDULI",
        "first_name": "ANUP",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22D102160600",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "050719",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02680748",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David H Montgomery, MD
• Keri Lynn Moran
• Richard Morski, MD
• Morton Recovery & Performance LLC
• Mountainview Medical Group PC
• Nicholas Mullery, PT, DPT
• Rathamani Muthusamy, DNP
• Vanessa Narwani, MD, MS
• Inga Nastaskin, LMSW, BCBA
• Areeba Nayyer, MD

• Oral and Maxillofacial Surgery (Dentist) in Oakland, NJ
• Providers in Oakland, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.