Provider Demographics
NPI:1235815424
Name:AJMERI, MADHAVI (DDS)
Entity type:Individual
Prefix:DR
First Name:MADHAVI
Middle Name:
Last Name:AJMERI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 LIVINGSTON AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-2300
Mailing Address - Country:US
Mailing Address - Phone:732-201-8078
Mailing Address - Fax:
Practice Address - Street 1:716 LIVINGSTON AVE STE 1
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-2300
Practice Address - Country:US
Practice Address - Phone:732-201-8078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-23
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00205711122300000X
390200000X
NJ22DI03107300122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program