Active NPI
Angela Verma, DDS
- General Practice Dentistry
- New York, NY
National Provider Identifier
1558586297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 052938-1
- Practice address
- 221 Avenue B
Ground Floor Dental Office
New York, NY 10009 - Phone
- (646) 960-9979
- Fax
- (646) 960-9979
- NPI assigned
- Apr 16, 2007
- Last updated
- Aug 14, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02331700 | NJ | |
| General Practice Dentistry | 1223G0001X | 052938-1 | NY | Primary |
Addresses
Primary practice location
221 Avenue B
Ground Floor Dental Office
New York, NY 10009
Mailing address
221 Avenue B
Ground Dental Office
New York, NY 10009-3355
Phone (646) 960-9979
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02331700 | NJ | MD | General Practice Dentistry |
| 052938-1 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coincidental | General Practice | Current | 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, 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": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1558586297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 AVENUE B",
"address_2": "GROUND DENTAL OFFICE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100093355",
"telephone_number": "646-960-9979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 AVENUE B",
"address_2": "GROUND FLOOR DENTAL OFFICE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10009",
"telephone_number": "646-960-9979",
"fax_number": "646-960-9979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERMA",
"first_name": "ANGELA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2024-08-14",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02331700",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "052938-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.