Individual provider Active NPI

Jyothsna Manchikalapudi, D.D.S

  • Pediatric Dentistry
  • Englewood, NJ
National Provider Identifier
1497458459
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
07557 Issued in NJ
Practice address
180 N Dean St Ste 1
Englewood, NJ 07631-2534
Phone
(201) 569-5437
NPI assigned
Mar 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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 07557 NJ Primary
Dentist 122300000X 22DI03068700 NJ

Addresses

Primary practice location

180 N Dean St Ste 1
Englewood, NJ 07631-2534

Mailing address

2356 Berkshire LN
North Brunswick, NJ 08902-4906
Phone (224) 424-9015

Other practice location 1

2291 Highway 33 Ste 1002
Hamilton, NJ 08690-1717
Phone (609) 588-5601

Other practice location 2

977 Livingston Ave
North Brunswick, NJ 08902-1843
Phone (732) 418-9800

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

LicenseStateTypeSpecialty
22DI03068700NJMDDentist
07557NJMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Health Associates PA General Practice Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1497458459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 BERKSHIRE LN",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089024906",
            "telephone_number": "224-424-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N DEAN ST STE 1",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312534",
            "telephone_number": "201-569-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2291 Highway 33 Ste 1002",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "086901717",
            "country_code": "US",
            "telephone_number": "609-588-5601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "977 Livingston Ave",
            "address_purpose": "LOCATION",
            "city": "North Brunswick",
            "state": "NJ",
            "postal_code": "089021843",
            "country_code": "US",
            "telephone_number": "732-418-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCHIKALAPUDI",
        "first_name": "JYOTHSNA",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "07557",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI03068700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.