Pratix Kantilal Shroff, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046088 Issued in NY

Practice address

26309 Union Tpke
Floral Park, NY 11004-1354

Phone

(718) 343-3300

Fax

(718) 343-3324

NPI assigned

Oct 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• All Brightdental,P.C.

  • General Practice Dentistry
  • Floral Park, NY
  • NPI 1699869586
  NPD (past) Authorized official

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1881683167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26309 UNION TPKE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110041354",
            "telephone_number": "718-343-3300",
            "fax_number": "718-343-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26309 UNION TPKE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110041354",
            "telephone_number": "718-343-3300",
            "fax_number": "718-343-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHROFF",
        "first_name": "PRATIX",
        "middle_name": "KANTILAL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01596029",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisa Ann Sherman, L.C.S.W-R
• Richard Sherman, D.P.M.
• Racheal Emy Shin, PHARM.D
• Mojgan Shokrian, RPH
• Rahem Shreeves, MHC-LP
• Shamshad Fatima Sial, PA
• Michal Sianov, PA
• Wanda B Simpkins
• Amrinderjit Singh
• Manpreet Singh, PA-C

• General Practice Dentistry in Floral Park, NY
• Providers in Floral Park, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.