Individual provider Active NPI

Abhishek Senjalia, D.M.D.

  • Dentist
  • Lansdowne, PA
National Provider Identifier
1558741629
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS040351 Issued in PA
Practice address
43 S Lansdowne Ave
Lansdowne, PA 19050-2804
Phone
(973) 975-5715
NPI assigned
Jun 4, 2015
Last updated
Jun 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS040351 PA Primary

Addresses

Primary practice location

43 S Lansdowne Ave
Lansdowne, PA 19050-2804

Mailing address

22 Highview Ave
Rockaway, NJ 07866-2814
Phone (973) 975-5715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20170410000049 PA Order and Referring Only - DentistPractitioner - Dentist 5294011144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1558741629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HIGHVIEW AVE",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078662814",
            "telephone_number": "973-975-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 S LANSDOWNE AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190502804",
            "telephone_number": "973-975-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENJALIA",
        "first_name": "ABHISHEK",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, PA

Sources for this page

Verify at the official NPI Registry.