Rani A Kolli, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02101200 Issued in NJ

Practice address

21 Periwinkle Dr
Monmouth JCT, NJ 08852

Phone

(732) 355-9294

NPI assigned

Mar 10, 2008

Last updated

May 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1346410933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PERIWINKLE DR",
            "city": "MONMOUTH JCT",
            "state": "NJ",
            "postal_code": "088521909",
            "telephone_number": "732-355-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PERIWINKLE DR",
            "city": "MONMOUTH JCT",
            "state": "NJ",
            "postal_code": "08852",
            "telephone_number": "732-355-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLI",
        "first_name": "RANI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02101200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0158232",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Convenient Family Medical Center
• Convenient Pediatrics
• Mary F Dashiell, LCSW
• Medha Gupta
• Kids Smile, PC
• Lisa D Marquette, PH.D.
• Jessette Areola Masanque, PHYSICAL THERAPIST
• Rubina Motwani
• Jimil Parikh, RPH
• David Shapiro, O.T.

• General Practice Dentistry in Monmouth JCT, NJ
• Providers in Monmouth JCT, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.

Verify at the official NPI Registry.