Shraddha Kartikey Adhvaryu, BDS MDS DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0425941 Issued in NY

Practice address

1015 Hillside Ave
New Hyde Park, NY 11040

Phone

(516) 746-3654

Fax

(516) 746-3715

NPI assigned

Feb 24, 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

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.

• Shraddha Adhvaryu, Dentist, PC

  • Dental Clinic/Center
  • New Hyde Park, NY
  • NPI 1548915879
  NPD Authorized official

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1699741280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 HILLSIDE AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "516-746-3654",
            "fax_number": "516-746-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 HILLSIDE AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "516-746-3654",
            "fax_number": "516-746-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADHVARYU",
        "first_name": "SHRADDHA",
        "middle_name": "KARTIKEY",
        "name_prefix": "Dr.",
        "credential": "BDS MDS DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0425941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01583908",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reya Adams, FNP-BC
• Olamide Adejumo, MBCHB; M.S
• Andrew Adesman, MD
• Vivian O Adeyemo, M.D.
• Yael Adhami, DDS
• Angela Diane Adimando, RN, MSN, PNP
• Michael Edward Adler, MD
• Philip A Adler, MD
• Maria Adragna
• Maria C Adragna, MD

• General Practice Dentistry in New Hyde Park, NY
• Providers in New Hyde Park, 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 Oct 28, 2008; 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.