Sumit Gogna

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34974 Issued in TX

Practice address

10 Sherwood Cir
Linden, NJ 07036-6011

Phone

(908) 456-6000

NPI assigned

Apr 11, 2018

Sex

Male

Sole proprietor

Yes

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

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

State licenses

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1962909457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SHERWOOD CIR",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070366011",
            "telephone_number": "908-456-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SHERWOOD CIR",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070366011",
            "telephone_number": "908-456-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGNA",
        "first_name": "SUMIT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-11",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Genova
• Suzanne Gentile, RPH
• Georgies Wood Avenue Inc
• Rokhsareh Ghaffari, DDS
• Mark Nashaat Ghobrial, DO
• Naomi Beth Gold, D.O.
• Ana M. Goldman, MA, CSW, LPC
• Peter Goljan, MD
• Gracecare NJ Health Services LLC
• Great Integrity LLC

• General Practice Dentistry in Linden, NJ
• Providers in Linden, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.