Individual provider Active NPI

Neel Suresh Vakharia, DMD

  • Dentist
  • Trenton, NJ
National Provider Identifier
1790343655
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02754600 Issued in NJ
Practice address
1544 Kuser Rd
Trenton, NJ 08619-3830
Phone
(609) 585-1616
NPI assigned
Jun 4, 2019
Last updated
Jul 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 059388-1 NY
Dentist 122300000X 22DI02754600 NJ Primary

Addresses

Primary practice location

1544 Kuser Rd
Trenton, NJ 08619-3830

Mailing address

16 Glendale LN
Fairfield, NJ 07004-1919
Phone (973) 882-9715

Other practice location 1

3474 Broadway
New York, NY 10031-5603
Phone (212) 926-5692

Other practice location 2

746 Livingston Ave
North Brunswick, NJ 08902-2385
Phone (732) 402-6209

Other practice location 3

620 Beverly Rancocas Rd
Willingboro, NJ 08046-3736
Phone (609) 877-1818

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
22DI02754600NJMDDentist
059388-1NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Suresh Vakharia Dentist PC Past Accepting new patients
Rancocas Dental Associates, LLC Dentist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1790343655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 GLENDALE LN",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041919",
            "telephone_number": "973-882-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 KUSER RD",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086193830",
            "telephone_number": "609-585-1616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3474 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100315603",
            "country_code": "US",
            "telephone_number": "212-926-5692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "746 Livingston Ave",
            "address_purpose": "LOCATION",
            "city": "North Brunswick",
            "state": "NJ",
            "postal_code": "089022385",
            "country_code": "US",
            "telephone_number": "732-402-6209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 Beverly Rancocas Rd",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "080463736",
            "country_code": "US",
            "telephone_number": "609-877-1818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAKHARIA",
        "first_name": "NEEL",
        "middle_name": "SURESH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "059388-1",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02754600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.