Individual provider Active NPI

Pranjli Vishal Zaveri Shah

  • General Practice Dentistry
  • Newark, NJ
National Provider Identifier
1720415607
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02547100 Issued in NJ
Practice address
433 Mount Prospect Ave
Newark, NJ 07104-4909
Phone
(973) 482-3866
NPI assigned
Oct 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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 22DI02547100 NJ Primary

Addresses

Primary practice location

433 Mount Prospect Ave
Newark, NJ 07104-4909

Mailing address

2205 Plaza Dr
Woodbridge, NJ 07095-1131
Phone (410) 300-6263

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
22DI02547100NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
S.N. Family Dental Center General Practice Past Accepting new patients

Organizations & group practices 1

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": "1381276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1720415607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 PLAZA DR",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951131",
            "telephone_number": "410-300-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 MOUNT PROSPECT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071044909",
            "telephone_number": "973-482-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVERI SHAH",
        "first_name": "PRANJLI",
        "middle_name": "VISHAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-09",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02547100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.