Individual provider Active NPI

Sakshi Sapru

  • General Practice Dentistry
  • Bridgewater, NJ
National Provider Identifier
1629704911
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02913500 Issued in NJ
Practice address
21 Monroe St
Bridgewater, NJ 08807-3043
Phone
(203) 308-7510
NPI assigned
Jul 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 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 22DI02913500 NJ Primary

Addresses

Primary practice location

21 Monroe St
Bridgewater, NJ 08807-3043

Mailing address

88 Patriot Hill Dr
Basking Ridge, NJ 07920-4215
Phone (203) 308-7510

Other practice location 1

513 Boulevard
Kenilworth, NJ 07033-1637
Phone (908) 276-6652

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

LicenseStateTypeSpecialty
22DI02913500NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sheen Dental General Practice CurrentSince Jul 21, 2024 Accepting new patients
Mondovi Dental of New Jersey - Bejarano PC General Practice PastSince Jul 1, 2022 Accepting new patients
Kenilworth Dental Associates, LLC General Practice PastSince Jul 1, 2022 Accepting new patients

Locations

21 Monroe St
Bridgewater, NJ 08807
Phone (203) 308-7510

Organizations & group practices 3

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": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1629704911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 PATRIOT HILL DR",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079204215",
            "telephone_number": "203-308-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MONROE ST",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073043",
            "telephone_number": "203-308-7510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "513 Boulevard",
            "address_purpose": "LOCATION",
            "city": "Kenilworth",
            "state": "NJ",
            "postal_code": "070331637",
            "country_code": "US",
            "telephone_number": "908-276-6652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAPRU",
        "first_name": "SAKSHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2024-07-17",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02913500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.