Diana Suzanne Polk, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01879100 Issued in NJ

Practice address

11 N Beverwyck Rd
Lake Hiawatha, NJ 07034-2518

Phone

(973) 334-0212

NPI assigned

Aug 14, 2007

Last updated

Aug 14, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• James V. Galiano III, DMD LLC

  • General Practice Dentistry
  • Lake Hiawatha, NJ
  • NPI 1861753584
  NPD (past)

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1437341336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 N BEVERWYCK RD",
            "city": "LAKE HIAWATHA",
            "state": "NJ",
            "postal_code": "070342518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N BEVERWYCK RD",
            "city": "LAKE HIAWATHA",
            "state": "NJ",
            "postal_code": "070342518",
            "telephone_number": "973-334-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLK",
        "first_name": "DIANA",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01879100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justine Sara Panicker, PHARMD, RPH
• Parsippany Transportation
• Parsippany-Troy Hills Township (Par Troy EMS)
• Piyush Patel
• Sugnesh Patel
• Zinal G Rana, PT
• Howard Paul Rappoport, DDS
• Dewang H Rawal, P.A. - C
• Rite Aid of New Jersey Inc (Rite Aid Pharmacy 00994)
• Rite Aid Pharmacy

• General Practice Dentistry in Lake Hiawatha, NJ
• Providers in Lake Hiawatha, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.