Individual provider Active NPI

Sunitha Murthy, DDS

  • Dentist
  • Passaic, NJ
National Provider Identifier
1497979157
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22928 Issued in NJ
Practice address
15 Broadway
Suite 202
Passaic, NJ 07055-5007
Phone
(201) 452-9352
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22928 NJ Primary

Addresses

Primary practice location

15 Broadway
Suite 202
Passaic, NJ 07055-5007

Mailing address

31 Paine CT
Parsippany, NJ 07054-7921
Phone (201) 452-9352

Other identifiers 1

IdentifierTypeStateIssuer
0263095MedicaidNJ

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
22928NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Broadway Dental Center PC 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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1497979157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PAINE CT",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070547921",
            "telephone_number": "201-452-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BROADWAY",
            "address_2": "SUITE 202",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555007",
            "telephone_number": "201-452-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURTHY",
        "first_name": "SUNITHA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0263095",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.