Active NPI
Roshni M Patel, DMD
- Pediatric Dentistry
- Union, NJ
National Provider Identifier
1972732675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 22DI0281550
- Practice address
- 381 Chestnut St
Union, NJ 07083-9430 - Phone
- (908) 686-2082
- NPI assigned
- Jul 2, 2009
- Last updated
- Feb 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 058944 | NY | |
| Pediatric Dentistry | 1223P0221X | DS042972 | PA | |
| Pediatric Dentistry | 1223P0221X | DN18742 | FL | |
| Pediatric Dentistry | 1223P0221X | 22DI0281550 | NJ | Primary |
Addresses
Primary practice location
381 Chestnut St
Union, NJ 07083-9430
Mailing address
1070 Morris Ave Apt 1220
Union, NJ 07083-7161
Phone (863) 529-3682
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 |
|---|---|---|---|
| DN18742 | FL | MD | Pediatric Dentist |
| 22DI0281550 | NJ | MD | Pediatric Dentist |
| DS042972 | PA | MD | Pediatric Dentist |
| 058944 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Dentistry of Lakeland, PLLC | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Dentistry
- Lakeland, FL
- NPI 1174887095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1972732675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 MORRIS AVE APT 1220",
"city": "UNION",
"state": "NJ",
"postal_code": "070837161",
"telephone_number": "863-529-3682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "381 CHESTNUT ST",
"city": "UNION",
"state": "NJ",
"postal_code": "070839430",
"telephone_number": "908-686-2082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "ROSHNI",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-02",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "058944",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS042972",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN18742",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "22DI0281550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.