Mrudula Pingili DDS ,LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02220500 Issued in NJ

Legal business name

MRUDULA PINGILI DDS ,LLC

Practice address

390 Amwell Rd
Suite 408 , Building 4
Hillsborough, NJ 08844-1225

Phone

(908) 874-5006

Fax

(908) 874-8272

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mrudula Pingili, D.D.SNPI 1417178260

Title

Owner

Phone

(908) 874-5006

Specialties & licenses 1

Addresses

Other names 1

• Dental Cosmetic Concepts Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mrudula Pingili, DDS

  • General Practice Dentistry
  • Hillsborough, NJ
  • NPI 1417178260
  NPD (past) Authorized official
• Krishna Sureshkumar, DDS

  • Dentist
  • Hillsborough, NJ
  • NPI 1740901768
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740482116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 AMWELL RD",
            "address_2": "SUITE 408 , BUILDING 4",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441225",
            "telephone_number": "908-874-5006",
            "fax_number": "908-874-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 AMWELL RD",
            "address_2": "SUITE 408 , BUILDING 4",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441225",
            "telephone_number": "908-874-5006",
            "fax_number": "908-874-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRUDULA PINGILI DDS ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PINGILI",
        "authorized_official_first_name": "MRUDULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-874-5006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02220500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Cosmetic Concepts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leanne Morton, LCSW
• Zaire Mosley, LMT
• Motyl Health LLC
• Janmarie Motz, L.C.S.W
• Anna S Moy, O.D.
• Maureen Mulvanerton, LCSW
• Ahmad A Mur, MD
• Amer Ahmad Mur, FNP
• Donna Lee Murray, APN
• Michal Mus, MD

• General Practice Dentistry in Hillsborough, NJ
• Providers in Hillsborough, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.