Individual provider Active NPI

Ajay P Mahendrasah, DMD

  • Dentist
  • White Plains, NY
National Provider Identifier
1801648944
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
064949 Issued in NY
Practice address
50 Barker Ave Apt 627
White Plains, NY 10601-1685
Phone
(941) 979-2445
NPI assigned
Apr 2, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 064949 NY Primary

Addresses

Primary practice location

50 Barker Ave Apt 627
White Plains, NY 10601-1685

Mailing address

50 Barker Ave Apt 627
White Plains, NY 10601-1685
Phone (941) 979-2445

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
064949NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1801648944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BARKER AVE APT 627",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011685",
            "telephone_number": "941-979-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BARKER AVE APT 627",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011685",
            "telephone_number": "941-979-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHENDRASAH",
        "first_name": "AJAY",
        "middle_name": "P",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-02",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "064949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.