Individual provider Active NPI

Snigdha Srivastava

  • General Practice Dentistry
  • Springfield, NJ
National Provider Identifier
1578810313
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02865400 Issued in PA
Practice address
18 Morris Ave Ste 3B
Springfield, NJ 07081-1455
Phone
(973) 218-6027
NPI assigned
Aug 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02865400 PA Primary

Addresses

Primary practice location

18 Morris Ave Ste 3B
Springfield, NJ 07081-1455

Mailing address

18 Morris Ave Ste 3B
Springfield, NJ 07081-1455
Phone (973) 218-6027

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02865400PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pearly Smiles Family Dentistry General Practice CurrentSince Aug 18, 2024 Accepting new patients

Locations

18 Morris Ave
Ste 3B
Springfield, NJ 07081
Phone (973) 218-6027

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": "1344643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1578810313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MORRIS AVE STE 3B",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811455",
            "telephone_number": "973-218-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MORRIS AVE STE 3B",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811455",
            "telephone_number": "973-218-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIVASTAVA",
        "first_name": "SNIGDHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-11",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "22DI02865400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.