Individual provider Active NPI

Diana Yang, DDS

  • Dentist
  • Paramus, NJ
National Provider Identifier
1225790306
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02912500 Issued in NJ
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

Updated by the provider on Jul 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
107039CAMDDentist
22DI02912500NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Devipriyathirugnanasambandam LLC CurrentSince Nov 3, 2024 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.

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.

Verify at the official NPI Registry.