Active NPI
Abhinav P Wadkar, B.D.S
- Prosthodontics
- Newark, NJ
National Provider Identifier
1306289772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- A-17272
- Practice address
- 110 Bergen St
Room D-830
Newark, NJ 07103-2495 - Phone
- (973) 972-4615
- NPI assigned
- Apr 16, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | A-17272 | ZZ | Primary |
Addresses
Primary practice location
110 Bergen St
Room D-830
Newark, NJ 07103-2495
Mailing address
214 Matthews Dr
Newark, NJ 07103-3152
Phone (973) 710-6147
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
| License | State | Type | Specialty |
|---|---|---|---|
| A-17272 | ZZ | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366070400000",
"number": "1306289772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 MATTHEWS DR",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071033152",
"telephone_number": "973-710-6147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 BERGEN ST",
"address_2": "ROOM D-830",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032495",
"telephone_number": "973-972-4615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADKAR",
"first_name": "ABHINAV",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "B.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-16",
"last_updated": "2013-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "ZZ",
"license": "A-17272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.