Individual provider Active NPI

Murtuza Moiz Ranijiwala, DMD

  • General Practice Dentistry
  • Woodbury Heights, NJ
National Provider Identifier
1285328393
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02976300 Issued in NJ
Practice address
1006 Mantua Pike Ste 1B
Woodbury Heights, NJ 08097-1225
Phone
(856) 345-9900
NPI assigned
Jun 5, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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 22DI02976300 NJ Primary

Addresses

Primary practice location

1006 Mantua Pike Ste 1B
Woodbury Heights, NJ 08097-1225

Mailing address

4317 Spruce St Apt 205
Philadelphia, PA 19104-4747
Phone (510) 434-6507

Other practice location 1

3 Kelly Driver Rd
Laurel Springs, NJ 08021-4823
Phone (856) 258-7064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02976300NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1285328393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4317 SPRUCE ST APT 205",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044747",
            "telephone_number": "510-434-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 MANTUA PIKE STE 1B",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971225",
            "telephone_number": "856-345-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Kelly Driver Rd",
            "address_purpose": "LOCATION",
            "city": "Laurel Springs",
            "state": "NJ",
            "postal_code": "080214823",
            "country_code": "US",
            "telephone_number": "856-258-7064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANIJIWALA",
        "first_name": "MURTUZA",
        "middle_name": "MOIZ",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02976300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.