SUJATHA H DESILVA
NPI 1265696058
Dentist - General Practice in Port Jervis, NY

Q: What is Sujatha H Desilva's NPI number?

The NPI number for Sujatha H Desilva is 1265696058. It was assigned to this organization in the NPPES registry on July 11, 2008.

Q: What is Sujatha H Desilva's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sujatha H Desilva was last updated on July 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since July 11, 2008

141 PIKE ST, PORT JERVIS, NY 12771(845) 856-4002(845) 856-4002 Get Directions Write a Review

NPPES record last updated: July 11, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sujatha H Desilva NPPES

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

SUJATHA H DESILVA (NPI 1265696058) is a healthcare organization registered as a general practice in Port Jervis, New York and active in the NPI registry since July 2008. The organization lists Sujatha H Desilva, Dentist, as its authorized official.

NPPES Registry Identity

NPI1265696058

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSUJATHA H DESILVA

Location Address141 PIKE STPort Jervis, NY 12771-1807

Mailing Address141 Pike StPort Jervis, NY 12771-1807 · (845) 856-4002 · Fax (845) 856-4002

Phone(845) 856-4002

Fax(845) 856-4002

Organization SubpartNo

Authorized OfficialSujatha H DesilvaDentist · 18458564002

Enumeration DateJuly 11, 2008

✔ NPI 1265696058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 039885

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.

141 PIKE ST, Port Jervis, NY 12771

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Other Identifiers 1

Medicaid0946341NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SUJATHA HETTIARACHCHI DESILVA DDS

Dentist (General Practice)

141 PIKE ST
PORT JERVIS, NY 12771

Orange County (845) 856-4002

DR. DIPTI U MANIAR DDS

Dentist

141 PIKE ST
PORT JERVIS, NY 12771

Orange County (845) 856-4002

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 Sujatha H Desilva's NPI number?

The NPI number for Sujatha H Desilva is 1265696058. It was assigned to this organization in the NPPES registry on July 11, 2008.

Where is Sujatha H Desilva located?

Sujatha H Desilva is located at 141 Pike St, Port Jervis, NY 12771. The listed phone number is (845) 856-4002.

What is Sujatha H Desilva's specialty?

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

When was this NPI record last updated?

The NPPES record for Sujatha H Desilva was last updated on July 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.