Dr. Gopi Surti, DMD
Dentist, Pediatric Dentistry in Edgewater, New Jersey
1104318500- Practice location
- 725 River RD Ste 204A, Edgewater, NJ 07020-1149
- Phone
- 201-228-9567
- Fax
- —
- Last updated
- October 20, 2020
Gopi Surti is a Dentist, Pediatric Dentistry based in Edgewater, NJ. Gopi Surti practices in Edgewater, NJ and has the professional credentials of DMD. The NPI Number for Gopi Surti is 1104318500 and holds a License No. 22DI02798000 (NJ). The current practice location address for Gopi Surti is 725 River RD Ste 204A, Edgewater, NJ 07020-1149 and can be reached out via phone at 201-228-9567.
Provider Profile Details
- NPI Number
- 1104318500
- Provider Name
- Gopi Surti
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 725 River RD Ste 204A, Edgewater, NJ 07020-1149
- Phone Number
- 201-228-9567
- Primary Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 31, 2018
- Last Update Date
- October 20, 2020
- Certification Date
- October 20, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 725 River RD Ste 204A
Edgewater, NJ 07020-1149 - City
- Edgewater
- State
- New Jersey
- Zip
- 07020-1149
- Phone Number
- 201-228-9567
Provider Business Mailing Address Details
- Address
- 30 Sandra Dr
Manchester, CT 06042-8231 - City
- Manchester
- State
- CT
- Zip
- 06042-8231
- Phone Number
- 860-803-6385
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 22DI02798000
- License State (2)
- NJ
- Taxonomy (2)
- Dentist, Pediatric Dentistry · 1223P0221X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Pediatric Dentistry providers near Edgewater, NJ
View all Dentist, Pediatric Dentistry providers in Edgewater →Frequently Asked Questions
What is the NPI number of Dr. Gopi Surti, DMD?
The NPI number of Dr. Gopi Surti, DMD is 1104318500. It was assigned on May 31, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Gopi Surti, DMD?
Dr. Gopi Surti, DMD is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NJ under license number 22DI02798000.
Where does Dr. Gopi Surti, DMD practice?
The practice location is 725 River RD Ste 204A, Edgewater, NJ 07020-1149. The office can be reached at 201-228-9567 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104318500 directly on the NPPES registry website.