Suresh Vakharia Dentist PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

034568 Issued in NY

Legal business name

SURESH VAKHARIA DENTIST PC

Practice address

3474 Broadway,
Ground Floor
New York, NY 10031

Phone

(212) 926-5692

NPI assigned

Dec 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Suresh V Vakharia, BDS,MDS,DDSNPI 1467402107

Title

President

Phone

(212) 926-5692

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suresh V Vakharia, MDS,DDS,FAGD

  • General Practice Dentistry
  • New York, NY
  • NPI 1467402107
  NPD (past) Authorized official
• Neel Suresh Vakharia, DMD

  • Dentist
  • Trenton, NJ
  • NPI 1790343655
  NPD (past)

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

{
    "created_epoch": "1166918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1407911183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3474 BROADWAY,",
            "address_2": "GROUND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10031",
            "telephone_number": "212-926-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3474 BROADWAY,",
            "address_2": "GROUND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10031",
            "telephone_number": "212-926-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURESH VAKHARIA DENTIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-24",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "VAKHARIA",
        "authorized_official_first_name": "SURESH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-926-5692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS,MDS,DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "034568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00411110",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Elizabeth Surdi, M.A., CF-SLP, TSSLD
• Patrice Surdi
• Kimberly Anne Sureau, NP
• Phanthaphan Sureeyathanaphat, M.D.
• Malini Suresh Nair, MD
• Madhuvanthi Suresh, PHD
• Charles Joseph Surette, MD
• Surgical Services of Bimc
• Surgical Services of St Vincents PC
• Surgical Sock Shop II Inc

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.