Neha Jain

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1856888 Issued in MA

Practice address

1 Olson St Unit 11
Wilmington, MA 01887-2458

Phone

(480) 414-4117

NPI assigned

Jun 13, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1434153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1457732695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OLSON ST UNIT 11",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872458",
            "telephone_number": "480-414-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OLSON ST UNIT 11",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872458",
            "telephone_number": "480-414-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "NEHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-13",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Inirio
• Integrated Wound Care Massachusetts PLLC
• Gladys L Inzofu
• Marsha Jacobs, M.AC.
• Molly R Jagoda
• James a Ficociello DDS PC
• Michelle C Janiak
• Cedric Jean-Phillipe
• John Michael Jenkins
• Jennifer Patricia Faretra

• General Practice Dentistry in Wilmington, MA
• Providers in Wilmington, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.

Verify at the official NPI Registry.