Active NPI
Asha Samant, DMD
- Prosthodontics
- Newark, NJ
National Provider Identifier
1386777100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 13210
- Practice address
- 110 Bergen St
D830 NJDS Umdnj
Newark, NJ 07103-2495 - Phone
- (973) 972-4225
- Fax
- (973) 972-0370
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 13210 | NJ | Primary |
Addresses
Primary practice location
110 Bergen St
D830 NJDS Umdnj
Newark, NJ 07103-2495
Mailing address
79 Chestnut St
Livingston, NJ 07039-5514
Phone (973) 972-4225
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150630002463 | NJ | Order and Referring Only - Dentist | 4183936370 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13210 | NJ | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386777100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 CHESTNUT ST",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070395514",
"telephone_number": "973-972-4225",
"fax_number": "973-972-0370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 BERGEN ST",
"address_2": "D830 NJDS UMDNJ",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032495",
"telephone_number": "973-972-4225",
"fax_number": "973-972-0370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMANT",
"first_name": "ASHA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NJ",
"license": "13210",
"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 Jul 8, 2007; 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.