Active NPIIndividual provider

Amish Butala

Dentist, General Practice in Newark, New Jersey

NPI Number1952758633
Practice location
110 Bergen St, Newark, NJ 07103-2495
Fax
—
Last updated
April 15, 2025

Amish Butala is a Dentist, General Practice based in Newark, NJ. Amish Butala practices in Newark, NJ. The NPI Number for Amish Butala is 1952758633 and holds a License No. 22DI0268900 (NJ). The current practice location address for Amish Butala is 110 Bergen St, Newark, NJ 07103-2495 and can be reached out via phone at 973-972-4242.

Provider Profile Details

NPI Number
1952758633
Provider Name
Amish Butala
Provider Entity Type
Individual
Gender
Male
Address
110 Bergen St, Newark, NJ 07103-2495
Phone Number
973-972-4242
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
May 23, 2016
Last Update Date
April 15, 2025
Certification Date
April 15, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Bergen St
Newark, NJ 07103-2495
City
Newark
Zip
07103-2495
Phone Number
973-972-4242
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
54 Lyle Pl
Edison, NJ 08820-4433
City
Edison
State
NJ
Zip
08820-4433
Phone Number
908-705-0463

License Information

License Number (2)
22DI0268900
License State (2)
NJ
Taxonomy (2)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amish Butala?

The NPI number of Amish Butala is 1952758633. It was assigned on May 23, 2016 and is currently active in the NPPES registry.

What is the specialty of Amish Butala?

Amish Butala is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI0268900.

Where does Amish Butala practice?

The practice location is 110 Bergen St, Newark, NJ 07103-2495. The office can be reached at 973-972-4242 (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 1952758633 directly on the NPPES registry website.

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