Individual provider Active NPI

Ayesha Mukesh Vashi, DMD

  • General Practice Dentistry
  • Newark, NJ
National Provider Identifier
1235785379
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02771900 Issued in NJ
Practice address
9 Alling St # 25
Newark, NJ 07102-5376
Phone
(973) 297-1550
NPI assigned
Aug 14, 2019
Last updated
Aug 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02771900 NJ Primary

Addresses

Primary practice location

9 Alling St # 25
Newark, NJ 07102-5376

Mailing address

10 Liberty St Apt 32E
New York, NY 10005-1552
Phone (212) 203-9666

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
I20191001001913 NJ Order and Referring Only - DentistPractitioner - Dentist 4688904824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02771900NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1235785379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LIBERTY ST APT 32E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100051552",
            "telephone_number": "212-203-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 ALLING ST # 25",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071025376",
            "telephone_number": "973-297-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASHI",
        "first_name": "AYESHA",
        "middle_name": "MUKESH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02771900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.