Individual provider Active NPI

Liany Farinas-Han, DMD

  • General Practice Dentistry
  • Midland Park, NJ
National Provider Identifier
1104173475
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02509100 Issued in NJ
Practice address
339 Godwin Ave
Midland Park, NJ 07432-1533
Phone
(201) 444-3049
NPI assigned
Aug 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02509100 NJ Primary

Addresses

Primary practice location

339 Godwin Ave
Midland Park, NJ 07432-1533

Mailing address

339 Godwin Ave
Midland Park, NJ 07432-1533
Phone (917) 790-9905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Aug 25, 2015 through Aug 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02509100NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smiles by Bergen Dental Emerson LLC Current Accepting new patients
Smiles by Bergen Dental Dumont LLC CurrentSince Dec 24, 2023 Accepting new patients
North Jersey Foot and Ankle Center LLC CurrentSince Dec 24, 2023 Accepting new patients
Bergen Smiles Dental Clinic, LLC Past Accepting new patients

Locations

166 Washington Ave
Dumont, NJ 07628
Phone (201) 384-2112

310 Main St
Emerson, NJ 07630
Phone (201) 261-3364

24 Godwin Ave
Ste 102
Midland Park, NJ 07432
Phone (201) 444-3049

339 Godwin Ave
Midland Park, NJ 07432
Phone (201) 444-3049

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1104173475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 GODWIN AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321533",
            "telephone_number": "917-790-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 GODWIN AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321533",
            "telephone_number": "201-444-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARINAS-HAN",
        "first_name": "LIANY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02509100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland Park, NJ

Sources for this page

Verify at the official NPI Registry.