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Export Provider Record NPI 1063978112
Anil Sishta
Active
NPI Number1063978112
NPI TypeNPI-1 Individual
SpecialtyDentist
Provider Details
NPI1063978112
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2019-02-13
Last Updated2022-11-30
Mailing Address1 3rd Ave Apt 908
Mineola, NY 11501-4349
United States
Phone: (908) 328-5263
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Primary Practice Address21 Division Ave
Levittown, NY 11756-2919
United States
Phone: (516) 274-0101
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes122300000X – DentistNY061208
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About NPI 1063978112

Anil Sishta is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063978112. The primary specialty listed is Dentist. The provider is located in Levittown, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2019-02-13. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063978112?

NPI 1063978112 belongs to Anil Sishta, a Dentist in Levittown, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063978112 active?

The current status of NPI 1063978112 in the NPPES registry is Active. The record was last updated on 2022-11-30.

What specialty is NPI 1063978112?

NPI 1063978112 is classified under the taxonomy Dentist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1063978112?

You can verify NPI 1063978112 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1063978112?

The primary practice address on file for NPI 1063978112 is 21 Division Ave, Levittown, NY 11756-2919. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063978112 issued?

NPI 1063978112 was first issued (enumerated) on 2019-02-13. The NPPES record was last updated on 2022-11-30.

Practice Location Map

Anil Sishta is located at 21 Division Ave, Levittown, NY. Use the map below to find directions or verify the practice location.

📍 21 Division Ave, Levittown, NY 11756-2919  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Anil Sishta. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1063978112. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Dentist061208NY
Data Verified from CMS NPPES Last synced: 2026-06-18 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162