Organization Active NPI

Lysandra Plotkin, D.M.D LLC

  • Dental Clinic/Center
  • Elizabeth, NJ
National Provider Identifier
1063908622
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LYSANDRA PLOTKIN, D.M.D LLC
Practice address
1151 E Jersey St
Elizabeth, NJ 07201-2310
Phone
(908) 351-2106
NPI assigned
Jul 6, 2018
Last updated
Jul 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Authorized official

Name
Dr. Lysandra Jaclyn Plotkin, DMDNPI 1255827812
Title
Owner
Phone
(908) 930-5644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1151 E Jersey St
Elizabeth, NJ 07201-2310

Mailing address

1151 E Jersey St
Elizabeth, NJ 07201-2310
Phone (908) 351-2106

National Provider Directory

National Provider Directory

Locations

1151 E Jersey St
Elizabeth, NJ 07201
Phone (908) 351-2106

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530835200000",
    "number": "1063908622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 E JERSEY ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012310",
            "telephone_number": "908-351-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 E JERSEY ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012310",
            "telephone_number": "908-351-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYSANDRA PLOTKIN, D.M.D LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-06",
        "status": "A",
        "authorized_official_last_name": "PLOTKIN",
        "authorized_official_first_name": "LYSANDRA",
        "authorized_official_middle_name": "JACLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-930-5644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; 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.