Active NPI
Veronica Rajan, DDS
- General Practice Dentistry
- Matawan, NJ
National Provider Identifier
1417570441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI02846600
- Practice address
- 740 State Route 34 Ste a
Matawan, NJ 07747-6688 - Phone
- (732) 583-8009
- Fax
- (732) 583-6969
- NPI assigned
- May 26, 2020
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02846600 | NJ | Primary |
Addresses
Primary practice location
740 State Route 34 Ste a
Matawan, NJ 07747-6688
Mailing address
740 State Route 34 Ste a
Matawan, NJ 07747-6688
Phone (732) 583-8009
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 |
|---|---|---|---|
| 22DI02846600 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VR Dental PC | General Practice | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Matawan, NJ
- NPI 1164301834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1417570441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 STATE ROUTE 34 STE A",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077476688",
"telephone_number": "732-583-8009",
"fax_number": "732-583-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 STATE ROUTE 34 STE A",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077476688",
"telephone_number": "732-583-8009",
"fax_number": "732-583-6969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJAN",
"first_name": "VERONICA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-26",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02846600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Matawan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.