Individual provider Active NPI

Hemali M Ajmera, D.D.S.

  • Dentist
  • Woodside, NY
National Provider Identifier
1760615603
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54512 Issued in NY
Practice address
5718 Woodside Ave
Ste 203
Woodside, NY 11377-3444
Phone
(718) 424-6201
NPI assigned
Aug 26, 2009
Last updated
Aug 26, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 54512 NY Primary

Addresses

Primary practice location

5718 Woodside Ave
Ste 203
Woodside, NY 11377-3444

Mailing address

20934 30TH Ave
Bayside, NY 11360-2419
Phone (718) 423-6148

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
54512NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251244800000",
    "number": "1760615603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20934 30TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602419",
            "telephone_number": "718-423-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5718 WOODSIDE AVE",
            "address_2": "STE 203",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773444",
            "telephone_number": "718-424-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJMERA",
        "first_name": "HEMALI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "54512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.