Active NPI
Amey Gopinath Patil
- Orofacial Pain Dentistry
- Newark, NJ
National Provider Identifier
1962139667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orofacial Pain Dentistry
- License
- 016.0134118
- Practice address
- 24 Jones St Apt 504
Newark, NJ 07103-3844 - Phone
- (917) 951-4589
- Fax
- (917) 590-0758
- NPI assigned
- Aug 3, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orofacial Pain Dentistry | 1223X2210X | 016.0134118 | VT | Primary |
Addresses
Primary practice location
24 Jones St Apt 504
Newark, NJ 07103-3844
Mailing address
24 Jones St Apt 504
Newark, NJ 07103-3844
Phone (917) 951-4589
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 |
|---|---|---|---|
| 016.0134118 | VT | MD | Orofacial Pain Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1962139667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 JONES ST APT 504",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071033844",
"telephone_number": "917-951-4589",
"fax_number": "917-590-0758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 JONES ST APT 504",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071033844",
"telephone_number": "917-951-4589",
"fax_number": "917-590-0758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATIL",
"first_name": "AMEY",
"middle_name": "GOPINATH",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-03",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223X2210X",
"taxonomy_group": "",
"desc": "Dentist, Orofacial Pain",
"state": "VT",
"license": "016.0134118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.