Individual provider Active NPI

Anna Katarzyna Pokrywka, DMD

  • Dentist
  • Iselin, NJ
National Provider Identifier
1235407271
Registry record updated Jan 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02477800 Issued in NJ
Practice address
37 Gill LN
Iselin, NJ 08830-2800
Phone
(732) 283-0500
Fax
(732) 283-3858
NPI assigned
Dec 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02477800 NJ Primary

Addresses

Primary practice location

37 Gill LN
Iselin, NJ 08830-2800

Mailing address

2034 Amwell Rd FRNT Door
Somerset, NJ 08873-7027
Phone (646) 288-7496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20150714000181 NJ Order and Referring Only - DentistPractitioner - Dentist 2567775026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02477800NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Apollonia Dental Group LLC CurrentSince Jan 28, 2024 Accepting new patients
Americare Dental P.a. Dentist Past Accepting new patients
Universal Dental LLP Dentist Past Accepting new patients

Locations

37 Gill Ln
Iselin, NJ 08830
Phone (732) 283-0500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705795200000",
    "number": "1235407271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 AMWELL RD FRNT DOOR",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088737027",
            "telephone_number": "646-288-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 GILL LN",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302800",
            "telephone_number": "732-283-0500",
            "fax_number": "732-283-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POKRYWKA",
        "first_name": "ANNA",
        "middle_name": "KATARZYNA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02477800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iselin, NJ

Sources for this page

Verify at the official NPI Registry.