Individual provider Active NPI

Sajal Swaroop, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Lowell, MA
National Provider Identifier
1548600216
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN1856323 Issued in MA
Practice address
33 Bartlett St
Lowell, MA 01852-1334
Phone
(978) 454-5637
NPI assigned
Jun 26, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN1856323 MA Primary

Addresses

Primary practice location

33 Bartlett St
Lowell, MA 01852-1334

Mailing address

33 Bartlett St
Lowell, MA 01852-1334
Phone (978) 454-5637

Other practice location 1

88 Montvale Ave
Stoneham, MA 02180-3643
Phone (781) 438-7206

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170720001157 MA Practitioner - Oral Surgery 8325318595 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Harvard School of Dental Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merrimack Valley Oral Surgeons, IncGroup PAC ID 6901969401, 5 clinicians

Practice addresses (Care Compare)

33 Bartlett St
Lowell, MA 01852-1334
Phone (978) 454-5637

88 Montvale Ave
Suite 5
Stoneham, MA 02180-3643

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Merrimack Valley Oral Surgeons, Inc. Oral and Maxillofacial Surgery CurrentSince Mar 16, 2020 Accepting new patients
Merrimack Valley Oral Surgeons, Inc Oral and Maxillofacial Surgery Current Accepting new patients
Oral and Maxillofacial Surgery, Inc. Oral and Maxillofacial Surgery CurrentSince Jul 31, 2017 Accepting new patients

Locations

830 Oak St
Ste 101W
Brockton, MA 02301
Phone (508) 586-5445

33 Bartlett St
Ste 101
Lowell, MA 01852
Phone (978) 256-5600

33 Bartlett St
Lowell, MA 01852
Phone (978) 452-7233

88 Montvale Ave
Stoneham, MA 02180
Phone (781) 481-9255

88 Montvale Ave
Ste 5
Stoneham, MA 02180
Phone (781) 438-7206

Interoperability endpoints

  • Direct secure messaging: sswaroop31649@tuftsmedicine.direct-ci.com

Organizations & group practices 3

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": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1548600216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BARTLETT ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521334",
            "telephone_number": "978-454-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BARTLETT ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521334",
            "telephone_number": "978-454-5637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 Montvale Ave",
            "address_purpose": "LOCATION",
            "city": "Stoneham",
            "state": "MA",
            "postal_code": "021803643",
            "country_code": "US",
            "telephone_number": "781-438-7206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWAROOP",
        "first_name": "SAJAL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-26",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DN1856323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.