Riya Sabu

Primary specialty

DentistTaxonomy code 122300000X

License

DS044633 Issued in PA

Practice address

4605 State Rd
Drexel Hill, PA 19026-4423

Phone

(651) 261-1412

NPI assigned

Jun 5, 2023

Last updated

Jun 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Unlv Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Las Vegas, NV
  • NPI 1558764456
  NPD (past)

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1730873688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 BRAEBURN CT",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412393",
            "telephone_number": "651-261-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 STATE RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190264423",
            "telephone_number": "651-261-1412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Shadow Ln",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891064124",
            "country_code": "US",
            "telephone_number": "702-774-2545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABU",
        "first_name": "RIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS044633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael John Ruggieri Jr., DMD
• Cesar E Ruiz, SLP.D.
• Stephen A. Russo, PH.D
• Pasquale John Russoniello, M.A.
• Patrick Rutledge, PT, DPT
• Jay E Salee, M.S.E.D., LBS
• Michelle Salera
• John P Sammartino, MD
• Asmi Sanghvi, DO
• Maureen Sauka, MS, CCC-SLP

• Dentist in Drexel Hill, PA
• Providers in Drexel Hill, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.