Individual provider Active NPI

Alla D Fishbeyn, DDS

  • Dentist
  • Branchburg, NJ
National Provider Identifier
1154333953
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20088 Issued in NJ
Practice address
3322 HW 22W
Ste 608 Dr Alla Fishbeyn
Branchburg, NJ 08876-4401
Phone
(908) 231-8778
Fax
(908) 231-8791
NPI assigned
Aug 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Dentist 122300000X 20088 NJ Primary

Addresses

Primary practice location

3322 HW 22W
Ste 608 Dr Alla Fishbeyn
Branchburg, NJ 08876-4401

Mailing address

3322 HW 22W
Ste 608 Dr Alla Fishbeyn
Branchburg, NJ 08876-4401
Phone (908) 231-8778

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
I20160610001187 NJ Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 8022308527

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20088NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154333953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 HW 22W",
            "address_2": "STE 608 DR ALLA FISHBEYN",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088764401",
            "telephone_number": "908-231-8778",
            "fax_number": "908-231-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 HW 22W",
            "address_2": "STE 608 DR ALLA FISHBEYN",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088764401",
            "telephone_number": "908-231-8778",
            "fax_number": "908-231-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHBEYN",
        "first_name": "ALLA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "20088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branchburg, NJ

Sources for this page

Verify at the official NPI Registry.