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Ani Coaderaj

Dentist - General Practice β€’ Bronx, NY

Active NPI 1093395444 Individual Practitioner Female Practitioner
Practice location in NPPES

111 E 210th St
Bronx, NY 104672401

Call 7189205731 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

111 E 210th St

Bronx, NY 104672401

Telephone 7189205731
Organization at the Same NPPES Address or Phone
Metcare Rx Mcp Pharmaceutical Services, Llc Facility NPI 1255364824

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $14.42 in 2023

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2023.

Guide: How to read an Open Payments record

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bronx and New York

359 active clinicians are listed under Dentist - General Practice with a practice address in Bronx, NY (7,833 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bronx

0% of these 359 clinicians have the CMS telehealth indicator.

0% of these 359 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2023

Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $14.42.

Manufacturer Payment Nature Product Type Amount ($)
VOCO America Inc.
Food and Beverage
In-kind items and services
Admira Fusion x-tra General $14.42

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-12-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES NY 062723

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Jerryl Abraham , MD

Student in an Organized Health Care Education/Training Program

NPI 1760125215

Doctor of Medicine (M.D.)

Philip Asare , PA

Physician Assistant

NPI 1316512726

Physician Assistant

Lamin Ceesay , CRNA

Nurse Anesthetist, Certified Registered

NPI 1679622914

Certified Registered Nurse Anesthetist

Amala Davis , PHYSICIAN ASSISTANT

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1528700523

PHYSICIANASSISTANT

Kyana Exceus , PA

Physician Assistant

NPI 1447951264

Physician Assistant

NPI 1225778673

Doctor of Medicine (M.D.), Master of Arts, Master of Business Administration

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2022

Dentist (license number reported to NPPES: NY 062723)

βœ…
NPI Profile Active April 10, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 10, 2021

Registered at 111 E 210TH ST, BRONX, NY 104672401 (Tel: 7189205731)

πŸ“
Business Mailing Address (Initial Record) April 10, 2021

Registered at 111 E 210TH ST, BRONX, NY 104672401

πŸ‘€
Provider Name / Credentials (Initial Record) April 10, 2021

Recorded as ANI COADERAJ

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 10, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1093395444
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2021
Last Update: December 01, 2022
Sole Proprietor: Yes

Other Dentist - General Practices in Bronx

All Dentist - General Practices in Bronx

Mailing Address

111 E 210th St

Bronx, NY 104672401

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.