Individual provider Active NPI

Nesrine Bestandji, D.M.D.

  • Dentist
  • Princeton, NJ
National Provider Identifier
1265731020
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02466900 Issued in NJ
Practice address
100 Canal Pointe Blvd Ste 116
Princeton, NJ 08540-7123
Phone
(609) 452-8630
Fax
(609) 452-1688
NPI assigned
Mar 19, 2011
Last updated
Mar 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02466900 NJ Primary

Addresses

Primary practice location

100 Canal Pointe Blvd Ste 116
Princeton, NJ 08540-7123

Mailing address

1044 Madison Hill Rd
Clark, NJ 07066-3244
Phone (732) 396-1504

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
22DI02466900NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Canal Vista Family Dental, LLC PastSince Apr 5, 2020 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1300492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1265731020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 MADISON HILL RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070663244",
            "telephone_number": "732-396-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CANAL POINTE BLVD STE 116",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085407123",
            "telephone_number": "609-452-8630",
            "fax_number": "609-452-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESTANDJI",
        "first_name": "NESRINE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-19",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02466900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.