Active NPI
Shomali Dasgupta, DDS
- Dentist
- Edison, NJ
National Provider Identifier
1255633780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DJ02451500
- Practice address
- 143 Woodbury Rd
Edison, NJ 08820-2973 - Phone
- (914) 275-3439
- NPI assigned
- Dec 5, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DJ02451500 | NJ | Primary |
Addresses
Primary practice location
143 Woodbury Rd
Edison, NJ 08820-2973
Mailing address
143 Woodbury Rd
Edison, NJ 08820-2973
Phone (732) 906-3521
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160421001929 | NJ | Order and Referring Only - Other (Physician) | 3072812270 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DJ02451500 | NJ | MD | Dentist |
Interoperability endpoints
- shomali.dasgupta@nchc.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291507200000",
"number": "1255633780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 WOODBURY RD",
"city": "EDISON",
"state": "NJ",
"postal_code": "088202973",
"telephone_number": "732-906-3521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 WOODBURY RD",
"city": "EDISON",
"state": "NJ",
"postal_code": "088202973",
"telephone_number": "914-275-3439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DASGUPTA",
"first_name": "SHOMALI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-05",
"last_updated": "2010-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DJ02451500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.