Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amish Butala

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1952758633

Amish Butala is a Student in an Organized Health Care Education/Training Program in Newark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2016.

Licensed in
NJ
In the registry since
2016
Specialties on file
2

Practice location Address checks out

110 Bergen St
Newark, NJ 07103-2495
Phone: (973) 972-4242
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 22DI0268900 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1952758633
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 23, 2016
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025
Mailing address54 Lyle Pl, Edison, NJ 08820-4433

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