Isai Fishkin D.D.S.,PA

Primary specialty

DentistTaxonomy code 122300000X

License

DI15341 Issued in NJ

Legal business name

ISAI FISHKIN D.D.S.,PA

Practice address

213 Summit Rd
Mountainside, NJ 07092-2316

Phone

(908) 654-7979

Fax

(908) 654-9444

NPI assigned

Aug 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Isai Fishkin, DDS

Title

Dentist

Phone

(908) 654-7979

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1043402027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 SUMMIT RD",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922316",
            "telephone_number": "908-654-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 SUMMIT RD",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922316",
            "telephone_number": "908-654-7979",
            "fax_number": "908-654-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAI FISHKIN D.D.S.,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "FISHKIN",
        "authorized_official_first_name": "ISAI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "908-654-7979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI15341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0129488",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8436703",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Mountainside, NJ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.