Active NPI
Isela Ana Cantuarias, DDS
- General Practice Dentistry
- Hackensack, NJ
National Provider Identifier
1184990996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI02496500
- Practice address
- 30 Prospect Ave
Hackensack, NJ 07601-1914 - Phone
- (201) 996-2111
- NPI assigned
- Mar 26, 2012
- Last updated
- Mar 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02496500 | NJ | Primary |
Addresses
Primary practice location
30 Prospect Ave
Hackensack, NJ 07601-1914
Mailing address
1111 River Rd
D10
Edgewater, NJ 07020-1335
Phone (718) 704-3125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02496500 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332720000000",
"number": "1184990996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 RIVER RD",
"address_2": "D10",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070201335",
"telephone_number": "718-704-3125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PROSPECT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011914",
"telephone_number": "201-996-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTUARIAS",
"first_name": "ISELA",
"middle_name": "ANA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-26",
"last_updated": "2012-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02496500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
- Margaret Campbell-Lupardo, CNM
- Richard P Campbell, LPC
- Cancer Surgery Associates,LLC (Donald A. McCain, M.D.)
- Lauren Mary Canciani, APN
- Peggy J Cannata-Stanlick, NJ HEARING AID DISPE
- Jania Capell Ramirez, P.A.
- Lisa Capizzi Marain, MSW LCSW
- Kristi Caporoso, LCSW
- James Louis Cappadona, M.D., M.P.H.
- Joshua Cappell, MD, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.