Individual provider Active NPI

Simrann Rai, DDS

  • General Practice Dentistry
  • Newark, NJ
National Provider Identifier
1497488415
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02914200 Issued in NJ
Practice address
433 Mount Prospect Ave
Newark, NJ 07104-4909
Phone
(973) 482-3866
NPI assigned
Jul 7, 2022
Last updated
Jul 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02914200 NJ Primary

Addresses

Primary practice location

433 Mount Prospect Ave
Newark, NJ 07104-4909

Mailing address

1657 Woodland Ave
Edison, NJ 08820-1040
Phone (201) 320-1292

Other practice location 1

180 N Main St
Milltown, NJ 08850-1418
Phone (732) 247-3684

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
22DI02914200NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
S.N. Family Dental Center General Practice PastSince Jul 10, 2022 Accepting new patients
S.N. Family Dental Center II Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1497488415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 WOODLAND AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201040",
            "telephone_number": "201-320-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 MOUNT PROSPECT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071044909",
            "telephone_number": "973-482-3866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 N Main St",
            "address_purpose": "LOCATION",
            "city": "Milltown",
            "state": "NJ",
            "postal_code": "088501418",
            "country_code": "US",
            "telephone_number": "732-247-3684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAI",
        "first_name": "SIMRANN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02914200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.