MS. AYANNA CELESTE BRADSHAW-SYDNOR D.D.S.
NPI 1043447543
Dentist - General Practice in East Orange, NJ

Q: What is Ayanna Bradshaw-sydnor's NPI number?

The NPI number for Ayanna Bradshaw-sydnor is 1043447543. It was assigned to this individual provider in the NPPES registry on June 11, 2009.

Q: What is Ayanna Bradshaw-sydnor's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since June 11, 2009PECOS Enrolled

72 N MUNN AVE, APARTMENT #1, EAST ORANGE, NJ 07017(404) 323-1569 Get Directions Write a Review

NPPES record last updated: June 11, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Ayanna Celeste Bradshaw-sydnor D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. AYANNA CELESTE BRADSHAW-SYDNOR D.D.S. (NPI 1043447543) is an individual general practice provider in East Orange, New Jersey, licensed in New Jersey (22010248900) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043447543

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameMS. AYANNA CELESTE BRADSHAW-SYDNORCredential: D.D.S.

Location Address72 N MUNN AVE, APARTMENT #1East Orange, NJ 07017-4122

Mailing Address275 Hobart St, Jewish Renaissance Medical Center-dental DepartmentPerth Amboy, NJ 08861-3396 · (973) 376-9333 · Fax (973) 293-0139

Phone(404) 323-1569

Sole ProprietorNo

Enumeration DateJune 11, 2009

Last NPPES UpdateJune 11, 2012

✔ NPI 1043447543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NJ · 22010248900

Definition

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.

72 N MUNN AVE, East Orange, NJ 07017

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Ayanna Celeste Bradshaw-sydnor D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ayanna Bradshaw-sydnor's NPI number?

The NPI number for Ayanna Bradshaw-sydnor is 1043447543. It was assigned to this individual provider in the NPPES registry on June 11, 2009.

Where is Ayanna Bradshaw-sydnor located?

Ayanna Bradshaw-sydnor practices at 72 N Munn Ave Apartment #1, East Orange, NJ 07017. The listed phone number is (404) 323-1569.

What is Ayanna Bradshaw-sydnor's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Ayanna Bradshaw-sydnor enrolled in Medicare?

Yes. Ayanna Bradshaw-sydnor is registered in the Medicare PECOS enrollment system.

What insurance does Ayanna Bradshaw-sydnor accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Ayanna Bradshaw-sydnor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ayanna Bradshaw-sydnor was last updated on June 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.