DR. DIVYA ADUSUMILLI DD NPI 1679795728

NPI Information

NPI: 1679795728
Provider Name: DR. DIVYA ADUSUMILLI, DD
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Individual
Address: 285 FORT WASHINGTON AVE
CD
NEW YORK, NY
ZIP 10032
Phone: (212) 795-9675

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NPI Details

DR. Divya Adusumilli, DD is a general practice dentist in New York, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Divya Adusumilli, DD NPI is 1679795728. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

285 FORT WASHINGTON AVE
CD
NEW YORK, NY
ZIP 10032-206
Phone: (212) 795-9675

The enumeration date for this NPI number is 5/2/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	052896-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02820973	MEDICAID	NEW YORK
2	02622604	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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