Individual provider Active NPI

Priti Nimish Parikh, D.D.S.

  • Dentist
  • Bronx, NY
National Provider Identifier
1598754707
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
045703 Issued in NY
Practice address
1211B Pugsley Ave
Bronx, NY 10472-5040
Phone
(718) 794-0384
Fax
(718) 794-0789
NPI assigned
Oct 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 045703 NY Primary

Addresses

Primary practice location

1211B Pugsley Ave
Bronx, NY 10472-5040

Mailing address

1246 Inman Ave
Edison, NJ 08820-1111
Phone (718) 794-0384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160613001585 NY Order and Referring Only - DentistPractitioner - Dentist 6709176290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045703NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pugsley Dental P.C. Dentist Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1598754707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 INMAN AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201111",
            "telephone_number": "718-794-0384",
            "fax_number": "718-794-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211B PUGSLEY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104725040",
            "telephone_number": "718-794-0384",
            "fax_number": "718-794-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIKH",
        "first_name": "PRITI",
        "middle_name": "NIMISH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "045703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.