Active NPI
Neel Suresh Vakharia, DMD
- Dentist
- Trenton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02754600
- Practice address
- 1544 Kuser Rd
Trenton, NJ 08619-3830 - Phone
- (609) 585-1616
- NPI assigned
- Jun 4, 2019
- Last updated
- Jul 9, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02754600 | NJ | MD | Dentist |
| 059388-1 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dentist
- Willingboro, NJ
- NPI 1710217500
-
- General Practice Dentistry
- New York, NY
- NPI 1407911183
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": []
}
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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.