Krishna Sureshkumar, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02925500 Issued in NJ

Practice address

390 Amwell Rd Ste 408
Hillsborough, NJ 08844-1247

Phone

(908) 874-5006

NPI assigned

Sep 7, 2022

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)

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 and National Provider Directory roles.

• Mrudula Pingili DDS ,LLC

  • General Practice Dentistry
  • Hillsborough, NJ
  • NPI 1740482116
  NPD (past)

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1740901768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LYDIA LN",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172356",
            "telephone_number": "732-710-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 AMWELL RD STE 408",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441247",
            "telephone_number": "908-874-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURESHKUMAR",
        "first_name": "KRISHNA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02925500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Weixin Su, L. AC
• Success Across the Spectrum
• Summerville at Hillsborough, LLC
• Summit Medical Group PA
• Sunshine Express
• Lynn Sutley-Hartmann, M.D.
• Kerri A Svec, LDTC, BCBA
• Swiss Orthopedic Co. Inc.
• Synergy Counseling Center, LLC
• Take Flight ABA LLC

• All providers in Hillsborough, NJ
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.