Active NPI
Bracha Lubart
- Dentist
- Rockaway, NJ
National Provider Identifier
1407350499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02739800
- Practice address
- 474 Green Pond Rd
Rockaway, NJ 07866-4200 - Phone
- (973) 983-9006
- NPI assigned
- Mar 22, 2018
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 22DI02739800 | NJ | Primary |
Addresses
Primary practice location
474 Green Pond Rd
Rockaway, NJ 07866-4200
Mailing address
348 Main Ave
Clifton, NJ 07014-1328
Other practice location 1
1154 E Veterans Hwy
Jackson, NJ 08527-5001
Phone (732) 363-2593
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 |
|---|---|---|---|
| 22DI02739800 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1407350499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 MAIN AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070141328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "474 GREEN POND RD",
"city": "ROCKAWAY",
"state": "NJ",
"postal_code": "078664200",
"telephone_number": "973-983-9006"
}
],
"practiceLocations": [
{
"address_1": "1154 E Veterans Hwy",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "NJ",
"postal_code": "085275001",
"country_code": "US",
"telephone_number": "732-363-2593",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUBART",
"first_name": "BRACHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-22",
"last_updated": "2024-09-25",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02739800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockaway, NJ
- Anna Maria Lodziuk, OTR/L
- Yelizavet Lomakova, DO
- Cynthia L Lopez-Pettorino, RDN, CDCES
- LSKT Transportation LLC
- Phebe Luar, PHARMD
- Daniel Tomas Lugo, PHARM.D.
- Marisa Lutz
- Luxottica of America Inc. (Target Optical #4794)
- Luxottica of America Inc. (LensCrafters #823)
- Luxottica of America Inc. (LensCrafters At Macy's #8530)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.