Jenan Agnihotri, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

053135-1 Issued in NY

Practice address

186 E123Rd St.
New York, NY 10035

Phone

(732) 986-4022

NPI assigned

Dec 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609944040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 OAKLAND RD",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572785",
            "telephone_number": "732-986-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 E123RD ST.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10035",
            "telephone_number": "732-986-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGNIHOTRI",
        "first_name": "JENAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053135-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02801792",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracey Agnese, M.D.
• Anstiss Agnew, LCSW-R
• Courtney Agnew, NP
• Jennifer Lynn Agnew, M.D.
• Marie C Agniel
• Varsha Agnihotri, DMD
• Joshua Agoha
• Andrew Paul Agoliati, M.D.
• Sara Agolli
• Ellen Agoos, PHD

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.