Individual provider Active NPI

Jane Ellen Ligums, D.M.D.

  • General Practice Dentistry
  • North Plainfield, NJ
National Provider Identifier
1104942465
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI20019 Issued in NJ
Practice address
176 Cedar St
North Plainfield, NJ 07060-3941
Phone
(908) 757-2613
Fax
(908) 753-9120
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DI20019 NJ Primary

Addresses

Primary practice location

176 Cedar St
North Plainfield, NJ 07060-3941

Mailing address

640 Johnston Dr
Watchung, NJ 07069-6467
Phone (908) 822-7227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150601000934 NJ Order and Referring Only - DentistPractitioner - Dentist 9739400995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI20019NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104942465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 JOHNSTON DR",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696467",
            "telephone_number": "908-822-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 CEDAR ST",
            "city": "NORTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603941",
            "telephone_number": "908-757-2613",
            "fax_number": "908-753-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGUMS",
        "first_name": "JANE",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI20019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.