Jagruti Bhakta, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

051844-1 Issued in NY

Practice address

639 W 173Rd St Apt 1a
New York, NY 10032-1426

Phone

(212) 928-4480

NPI assigned

Jan 29, 2007

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ravi C Maddali, DDS, PC

  • General Practice Dentistry
  • New York, NY
  • NPI 1114178795
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669518700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 1ST ST APT 16PB",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070308802",
            "telephone_number": "646-785-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 W 173RD ST APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321426",
            "telephone_number": "212-928-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAKTA",
        "first_name": "JAGRUTI",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051844-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02837956",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raj B Bhagirathee
• Bhavana Bhagya Rao, M.D.
• Mohammadee Bhaiyat
• Dimpal Bhakta, M.D.
• Hiren Bhakta, M.D.
• Karishma J Bhakta
• Nilam Bhaliya
• Abhinav Bhalla, M.B.B.S.
• Aditi Bhalla
• Eesha Urvashi Bhalla

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.