Palak H Pandya, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02633300 Issued in NJ

Practice address

30 Orchard St
Dover, NJ 07801-4583

Phone

(973) 366-0311

Fax

(973) 442-1417

NPI assigned

Aug 28, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

State licenses

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1962879734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ORCHARD ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078014583",
            "telephone_number": "973-366-0311",
            "fax_number": "973-442-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ORCHARD ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078014583",
            "telephone_number": "973-366-0311",
            "fax_number": "973-442-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDYA",
        "first_name": "PALAK",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02633300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coleen M O'Connor, CMT
• Orthopedic Associates of West Jersey, P.a.
• Priscilla Ortiz, MA., LAC, NCC
• Christine Federline Pagano, M.D.
• Katharine Theresa Palla, DO
• Jeanne M Pare, M.D.
• Brianne Parker, PA-C
• Aditi Patel, PT
• Himanshu Kantibhai Patel, M.D.
• Sheetal Patel, D.C.

• Dentist in Dover, NJ
• Providers in Dover, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.