Organization Active NPI

Pramukhashish, LLC

  • Dentist
  • Colonia, NJ
National Provider Identifier
1518024413
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02033900 Issued in NJ
Legal business name
PRAMUKHASHISH, LLC
Practice address
1503 Saint Georges Ave
Suite 102
Colonia, NJ 07067-3425
Phone
(732) 382-4104
Fax
(732) 388-6078
NPI assigned
Jan 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kavita Pankaj Patel, D.D.S.NPI 1972660868
Title
Single-Member Owner
Phone
(732) 382-4104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02033900 NJ Primary

Addresses

Primary practice location

1503 Saint Georges Ave
Suite 102
Colonia, NJ 07067-3425

Mailing address

1503 Saint Georges Ave
Suite 102
Colonia, NJ 07067-3425
Phone (732) 382-4104

National Provider Directory

National Provider Directory

Locations

1503 Saint Georges Ave
Ste 102
Colonia, NJ 07067
Phone (732) 382-4104

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518024413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 SAINT GEORGES AVE",
            "address_2": "SUITE 102",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070673425",
            "telephone_number": "732-382-4104",
            "fax_number": "732-388-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 SAINT GEORGES AVE",
            "address_2": "SUITE 102",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070673425",
            "telephone_number": "732-382-4104",
            "fax_number": "732-388-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAMUKHASHISH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KAVITA",
        "authorized_official_middle_name": "PANKAJ",
        "authorized_official_title_or_position": "SINGLE-MEMBER OWNER",
        "authorized_official_telephone_number": "732-382-4104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02033900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonia, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.