Sowmya Ananthan, DMD

Primary specialty

Orofacial Pain DentistryTaxonomy code 1223X2210X

License

DI24531 Issued in NJ

Practice address

110 Bergen St
Reception #12
Newark, NJ 07103-2495

Phone

(973) 972-3418

NPI assigned

Sep 2, 2010

Last updated

Oct 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Oral Surgery

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rutgers School of Dental MedicineGroup PAC ID 0244382109, 4 clinicians

Rutgers University Dental Associates-New BrunswickGroup PAC ID 4385922251, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ananthan@gsopl-nj.direct.office.nextgen.com

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.

• Rutgers School of Dental Medicine

  • Dental Clinic/Center
  • Newark, NJ
  • NPI 1073712543
  Medicare reassignment Care Compare group NPD
• Rutgers University Dental Associates-New Brunswick

  • Dentist
  • New Brunswick, NJ
  • NPI 1164874376
  Medicare reassignment Care Compare group
• Rutgers Health -University Dental Associates

  • Endodontics
  • Newark, NJ
  • NPI 1346454584
  Medicare reassignment
• Rutgers Health - RSDM Dental Associates - New Brunswick Os - NB

  • Oral and Maxillofacial Surgery (Dentist)
  • New Brunswick, NJ
  • NPI 1164171930
  NPD
• Rutgers School of Dental Medicine

  • Dental Clinic/Center
  • Newark, NJ
  • NPI 1487853248
  NPD

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1235446931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BERGEN ST",
            "address_2": "RECEPTION #12",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032495",
            "telephone_number": "973-972-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BERGEN ST",
            "address_2": "RECEPTION #12",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032495",
            "telephone_number": "973-972-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANANTHAN",
        "first_name": "SOWMYA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI24531",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "NJ",
            "license": "DI24531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• An Open MRI Imaging of Newark, LLC (Orange Diagnostic Imaging, LLC)
• Anahita Medical Group
• Anam Cara Counseling and Supervision, LLC
• Michael Calulo Anana, M.D.
• Thiruvengadam Anandarangam, MD
• Amanda Marie Andersen, DO
• Audrey Anderson, LAC LCADC
• Chepell Anderson
• Colleen Sonya Anderson, DOULA
• Iyana Anderson

• Orofacial Pain Dentistry in Newark, NJ
• Providers in Newark, NJ by specialty
• Orofacial Pain Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.