Active NPI
Diana Yang, DDS
- Dentist
- Paramus, NJ
National Provider Identifier
1225790306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02912500
- Practice address
- 501 NJ-17 S
Paramus, NJ 07652 - Phone
- (201) 809-9566
- NPI assigned
- Oct 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 107039 | CA | |
| Dentist | 122300000X | 22DI02912500 | NJ | Primary |
Addresses
Primary practice location
501 NJ-17 S
Paramus, NJ 07652
Mailing address
11 Marquis CT
Edgewater, NJ 07020-2900
Phone (909) 510-7658
Other practice location 1
20747 Amar Rd Ste 5
Walnut, CA 91789-5043
Phone (909) 595-1800
Other practice location 2
5405 Bergenline Ave
West New York, NJ 07093-4603
Phone (201) 223-4444
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 |
|---|---|---|---|
| 107039 | CA | MD | Dentist |
| 22DI02912500 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Devipriyathirugnanasambandam LLC | Current | Accepting new patients |
Locations
5405 Bergenline Ave
West New York, NJ 07093
Phone (201) 223-4444
Organizations & group practices 1
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.
-
- General Practice Dentistry
- West New York, NJ
- NPI 1467274704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689292800000",
"number": "1225790306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 MARQUIS CT",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070202900",
"telephone_number": "909-510-7658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 NJ-17 S",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "07652",
"telephone_number": "201-809-9566"
}
],
"practiceLocations": [
{
"address_1": "20747 Amar Rd Ste 5",
"address_purpose": "LOCATION",
"city": "Walnut",
"state": "CA",
"postal_code": "917895043",
"country_code": "US",
"telephone_number": "909-595-1800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5405 Bergenline Ave",
"address_purpose": "LOCATION",
"city": "West New York",
"state": "NJ",
"postal_code": "070934603",
"country_code": "US",
"telephone_number": "201-223-4444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YANG",
"first_name": "DIANA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-06",
"last_updated": "2023-07-14",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "107039",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02912500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.