Kaushik N Patel, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02326000 Issued in NJ

Practice address

540 Lafayette Ave
Hawthorne, NJ 07506-2448

Phone

(973) 304-0700

NPI assigned

May 22, 2007

Last updated

Feb 4, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lafayette Family Dental Care,LLC

  • General Practice Dentistry
  • Hawthorne, NJ
  • NPI 1780009019
  NPD (past) Authorized official
• Lafayette Family Dentistry MGMT Inc

  • Dentist
  • Hawthorne, NJ
  • NPI 1639292410
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1790994986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 LAFAYETTE AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075062448",
            "telephone_number": "551-358-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 LAFAYETTE AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075062448",
            "telephone_number": "973-304-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KAUSHIK",
        "middle_name": "N",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052867-1",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02326000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02783860",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0180645",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olssons RX (Olsson's Pharmacy)
• Benjamin Ortiz
• Joseph Paladino, LCSW
• Anthony Michael Pallotta, DDS PA
• Amanda Parsons, BCBA
• Katherine Rocio Perez Grullon, RN
• Kelli A Petit, NUTRITIONIST
• Alison Petix
• Nathan J Plaskett, DO
• Nicole Marie Procopio, PA-C

• General Practice Dentistry in Hawthorne, NJ
• Providers in Hawthorne, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.