Individual
DR. SURENDRA R. VASHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
57 BROADWAY, NEWARK, NJ 07104-2503
(973) 481-3981
(973) 481-1082
Mailing address
57 BROADWAY, NEWARK, NJ 07104-2503
(973) 481-3981
(973) 481-1082
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DIO 17619
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1168217
HORIZON NJ HEALTH
NJ
01
—
17836
AMERIGROUP
NJ
01
—
300133795
TAX ID
NJ
01
—
336421
AMERICHOICE
NJ
05
—
4634501
—
NJ
Enumeration date
11/13/2006
Last updated
06/08/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us