Individual provider Active NPI

Vrishali Govitrikar, DMD

  • General Practice Dentistry
  • Edison, NJ
National Provider Identifier
1649593286
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS038139 Issued in PA
Practice address
68 Sagamore Ave S
Edison, NJ 08820-2978
Phone
(267) 303-4093
NPI assigned
Mar 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS038139 PA Primary
General Practice Dentistry 1223G0001X DI0-2434800 NJ

Addresses

Primary practice location

68 Sagamore Ave S
Edison, NJ 08820-2978

Mailing address

68 Sagamore Ave S
Edison, NJ 08820-2978
Phone (267) 303-4093

Other names 1

  • Vrishali Gujar Former name

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
DI0-2434800NJMDGeneral Practice Dentistry
DS038139PAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1649593286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 SAGAMORE AVE S",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202978",
            "telephone_number": "267-303-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 SAGAMORE AVE S",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202978",
            "telephone_number": "267-303-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVITRIKAR",
        "first_name": "VRISHALI",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038139",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI0-2434800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VRISHALI",
            "last_name": "GUJAR",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.