Individual provider Active NPI

Rohini Mathrani, ROHINI MATHRANI

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jackson Heights, NY
National Provider Identifier
1265753768
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
05054883 Issued in NY
Practice address
3745 75TH St
Jackson Heights, NY 11372-6435
Phone
(718) 898-0600
NPI assigned
Jun 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 05054883 NY Primary

Addresses

Primary practice location

3745 75TH St
Jackson Heights, NY 11372-6435

Mailing address

226 E 85TH St
Apt 5D
New York, NY 10028-3088
Phone (847) 975-5168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20151222002349 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1759682438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05054883NYMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Orthodontics Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 1

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": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1265753768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 E 85TH ST",
            "address_2": "APT 5D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100283088",
            "telephone_number": "847-975-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 75TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726435",
            "telephone_number": "718-898-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHRANI",
        "first_name": "ROHINI",
        "name_prefix": "Dr.",
        "credential": "ROHINI MATHRANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "05054883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.