Individual provider Active NPI

Nilika Gulati, DMD

  • General Practice Dentistry
  • Red Bank, NJ
National Provider Identifier
1235706920
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02881000 Issued in NJ
Practice address
64 Bridge Ave # 66
Red Bank, NJ 07701-6433
Phone
(732) 219-6620
NPI assigned
Jun 9, 2021
Last updated
Jan 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02881000 NJ Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

64 Bridge Ave # 66
Red Bank, NJ 07701-6433

Mailing address

64 W George PL
Iselin, NJ 08830-1145
Phone (908) 487-1213

Other practice location 1

300 2nd Ave
Long Branch, NJ 07740-6303
Phone (732) 222-5200

Other practice location 2

220 N Washington Ave
Dunellen, NJ 08812-1246
Phone (732) 624-9500

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
I20230803000587 NJ Practitioner - Dentist 4183085491 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Nurse Association of Central Jersey Community Health Center I CurrentSince Apr 4, 2023 Accepting new patients
Visiting Nurse Association of Central Jersey Community Health Center I CurrentSince Apr 4, 2023 Accepting new patients
Gentle Family Dentistry NJ L.L.C. Past Accepting new patients

Locations

1301 Main St
Asbury Park, NJ 07712
Phone (732) 774-6333

35 Broad St
Keyport, NJ 07735
Phone (732) 888-4149

Interoperability endpoints

  • Direct secure messaging: nilika.gulati.p1@direct.vnahg.nextgenshare.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": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1235706920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 W GEORGE PL",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088301145",
            "telephone_number": "908-487-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 BRIDGE AVE # 66",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077016433",
            "telephone_number": "732-219-6620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Long Branch",
            "state": "NJ",
            "postal_code": "077406303",
            "country_code": "US",
            "telephone_number": "732-222-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 N Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Dunellen",
            "state": "NJ",
            "postal_code": "088121246",
            "country_code": "US",
            "telephone_number": "732-624-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULATI",
        "first_name": "NILIKA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02881000",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.