Prakhar Mehrotra, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22DI02730000 Issued in NJ

Practice address

175 Morristown Rd Ste 103
Basking Ridge, NJ 07920-1657

Phone

(908) 395-0111

Fax

(908) 395-0108

NPI assigned

Apr 29, 2013

Sex

Male

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ride Oral Surgery Summit PC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Summit, NJ
  • NPI 1164384277
  NPD Authorized official
• Ridge Oral Surgery, Inc

  • Oral and Maxillofacial Surgery Clinic/Center
  • Basking Ridge, NJ
  • NPI 1790485233
  NPD Authorized official
• Warren Oral & Maxillofacial Surgery Center, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Warren, NJ
  • NPI 1770749426
  NPD (past)

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1740624121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MORRISTOWN RD STE 103",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201657",
            "telephone_number": "908-395-0111",
            "fax_number": "908-395-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MORRISTOWN RD STE 103",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201657",
            "telephone_number": "908-395-0111",
            "fax_number": "908-395-0108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Becker Farm Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Roseland",
            "state": "NJ",
            "postal_code": "070681727",
            "country_code": "US",
            "telephone_number": "862-881-4139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHROTRA",
        "first_name": "PRAKHAR",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-29",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02730000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christianne C McCarthy, MSPT
• Donna Lee McGuffy, BS RPH BCOP PIC
• Vicky Marie McKeown, APNC
• Sheila McMenamin
• Sarah L. McParland, P.T.
• Maria Emilia Mejia, APRN, B.C.
• Patricia Mejia, LPC
• Stella Mellas, DDS, MS
• Susan Melone
• Abraham Meltzer

• Oral and Maxillofacial Surgery (Dentist) in Basking Ridge, NJ
• Providers in Basking Ridge, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.