Individual provider Active NPI

Shruti Ravindramurthy, DDS

  • Dentist
  • Clifton, NJ
National Provider Identifier
1336843150
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI03012200 Issued in NJ
Practice address
600 Getty Ave Ste 302
Clifton, NJ 07011-2161
Phone
(732) 474-7467
NPI assigned
Mar 27, 2023
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI03012200 NJ Primary

Addresses

Primary practice location

600 Getty Ave Ste 302
Clifton, NJ 07011-2161

Mailing address

36 Valley Rd Apt 611
Montclair, NJ 07042-2879
Phone (412) 576-8404

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
22DI03012200NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1336843150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 VALLEY RD APT 611",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422879",
            "telephone_number": "412-576-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GETTY AVE STE 302",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112161",
            "telephone_number": "732-474-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVINDRAMURTHY",
        "first_name": "SHRUTI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI03012200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.