Vanita Ahuja Mudgil, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

0494671 Issued in NY

Practice address

26 Grace Dr
Old Westbury, NY 11568-1221

Phone

(917) 514-9539

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: vmudgil555564@nyumc.direct-ci.com

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902955693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 GRACE DR",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "115681221",
            "telephone_number": "917-514-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 GRACE DR",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "115681221",
            "telephone_number": "917-514-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDGIL",
        "first_name": "VANITA",
        "middle_name": "AHUJA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "0494671",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DIO2205800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Mahoney
• Jayme D Mancini, D.O., PH.D
• Matt Nourmand Dental PC
• Christina Montesano
• Nicole Marie Moreno, ATC
• Sana Naeem
• Sara Catherine Napolitano, PA-C
• New York Institute of Technology
• Philip Noto
• Marie Terese Oppedisano, PHD

• Periodontics in Old Westbury, NY
• Providers in Old Westbury, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.