Individual provider Active NPI

Joanne Reiffe Fishbane, D.M.D.

  • General Practice Dentistry
  • West Windsor, NJ
National Provider Identifier
1215957634
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI12436 Issued in NJ
Practice address
231 Clarksville Rd
Suite 4D
West Windsor, NJ 08550-5300
Phone
(609) 275-5400
Fax
(609) 275-2839
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
Yes

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 DI12436 NJ Primary

Addresses

Primary practice location

231 Clarksville Rd
Suite 4D
West Windsor, NJ 08550-5300

Mailing address

231 Clarksville Rd
Suite 4D
West Windsor, NJ 08550-5300
Phone (609) 275-5400

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
I20150615000653 NJ Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 9739490913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI12436NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215957634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 CLARKSVILLE RD",
            "address_2": "SUITE 4D",
            "city": "WEST WINDSOR",
            "state": "NJ",
            "postal_code": "085505300",
            "telephone_number": "609-275-5400",
            "fax_number": "609-275-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 CLARKSVILLE RD",
            "address_2": "SUITE 4D",
            "city": "WEST WINDSOR",
            "state": "NJ",
            "postal_code": "085505300",
            "telephone_number": "609-275-5400",
            "fax_number": "609-275-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIFFE FISHBANE",
        "first_name": "JOANNE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI12436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Windsor, NJ

Sources for this page

Verify at the official NPI Registry.