Individual provider Active NPI

Niru Gaind, D.M.D

  • General Practice Dentistry
  • Mount Laurel, NJ
National Provider Identifier
1649484569
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D122973 Issued in NJ
Practice address
4160 Dearborn Cir Unit 117
Mount Laurel, NJ 08054-4125
Phone
(856) 583-0831
NPI assigned
May 9, 2007
Last updated
Feb 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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 D122973 NJ Primary

Addresses

Primary practice location

4160 Dearborn Cir Unit 117
Mount Laurel, NJ 08054-4125

Mailing address

4160 Dearborn Cir Unit 117
Mount Laurel, NJ 08054-4125
Phone (856) 583-0831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20160407001123 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0941508964

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D122973NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Hill Prosthodontic Assoc PC Past Accepting new patients
Picasso Imaging Center LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1649484569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 DEARBORN CIR UNIT 117",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544125",
            "telephone_number": "856-583-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 DEARBORN CIR UNIT 117",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544125",
            "telephone_number": "856-583-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIND",
        "first_name": "NIRU",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "D122973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.