Active NPI
Anu Jolly, D.D.S.
- General Practice Dentistry
- New York, NY
National Provider Identifier
1427433325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 059149
- Practice address
- 303 E 33Rd St
6J
New York, NY 10016-7607 - Phone
- (561) 512-5768
- NPI assigned
- Jul 21, 2015
- 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 | 059149 | NY | Primary |
Addresses
Primary practice location
303 E 33Rd St
6J
New York, NY 10016-7607
Mailing address
96-21 68TH Ave
Forest Hills, NY 11375
Phone (561) 512-5768
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 |
|---|---|---|---|
| 059149 | NY | MD | General Practice Dentistry |
Interoperability endpoints
- anu.jolly-young.1@18107.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517184000000",
"number": "1427433325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96-21 68TH AVE",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "11375",
"telephone_number": "561-512-5768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E 33RD ST",
"address_2": "6J",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100167607",
"telephone_number": "561-512-5768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOLLY",
"first_name": "ANU",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-21",
"last_updated": "2018-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "059149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.