Individual provider Active NPI

Meeta Grewal, DDS

  • Pediatric Dentistry
  • Jersey City, NJ
National Provider Identifier
1457509465
Registry record updated Aug 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
054128 Issued in NY
Practice address
425 Washington Blvd Apt 1513
Jersey City, NJ 07310-2048
Phone
(703) 258-9295
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 054128 NY Primary
Pediatric Dentistry 1223P0221X 22DI02385400 NJ

Addresses

Primary practice location

425 Washington Blvd Apt 1513
Jersey City, NJ 07310-2048

Mailing address

425 Washington Blvd Apt 1513
Jersey City, NJ 07310-2048
Phone (703) 258-9295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20190415001611 NY Order and Referring Only - DentistPractitioner - Dentist 4880935154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02385400NJMDPediatric Dentist
054128NYMDPediatric Dentist

Interoperability endpoints

  • Direct secure messaging: mgrewal296671@nyumc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502323200000",
    "number": "1457509465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 WASHINGTON BLVD APT 1513",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073102048",
            "telephone_number": "703-258-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 WASHINGTON BLVD APT 1513",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073102048",
            "telephone_number": "703-258-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREWAL",
        "first_name": "MEETA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2017-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "054128",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02385400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.