Marianella Natera-Fernandez, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

22DI02653700 Issued in NJ

Practice address

110 Bergen St
D883
Newark, NJ 07103-2495

Phone

(973) 972-1374

NPI assigned

Sep 16, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1073061297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 OCEAN ST",
            "address_2": "2ND FLOOR",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411147",
            "telephone_number": "352-792-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BERGEN ST",
            "address_2": "D883",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032495",
            "telephone_number": "973-972-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATERA-FERNANDEZ",
        "first_name": "MARIANELLA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE60295958",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "22DI02653700",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN22262",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliseu A Nascimento, PT
• Moira Cristina Nascimento, LAC.
• Fareeha Naseer
• Raheel K Naseeruddin, MD
• Ana Natale-Pereira, M.D.
• Kris Arun Nathan, DO
• Meena Nathan
• Tovah Navah, MS, CPRP
• Samin F Nawaz, DMD, MDS
• Poonam Vasant Nayak

• Endodontics in Newark, NJ
• Providers in Newark, NJ by specialty
• Endodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.