Individual provider Active NPI

Marta Pisinska, DDS

  • General Practice Dentistry
  • Garfield, NJ
National Provider Identifier
1457385635
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02259300 Issued in NJ
Practice address
160 Lanza Ave
Suite 11
Garfield, NJ 07026-3510
Phone
(973) 955-2023
NPI assigned
Jul 11, 2006
Last updated
Sep 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 050321-1 NY
General Practice Dentistry 1223G0001X 22DI02259300 NJ Primary

Addresses

Primary practice location

160 Lanza Ave
Suite 11
Garfield, NJ 07026-3510

Mailing address

274 Slocum Way
Fort Lee, NJ 07024-5306
Phone (917) 842-0366

Other identifiers 1

IdentifierTypeStateIssuer
02388250MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110623000377 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8426236308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02259300NJMDGeneral Practice Dentistry
050321-1NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mpisinska562994@nychhc.direct-ci.com

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1457385635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 SLOCUM WAY",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245306",
            "telephone_number": "917-842-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 LANZA AVE",
            "address_2": "SUITE 11",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070263510",
            "telephone_number": "973-955-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISINSKA",
        "first_name": "MARTA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050321-1",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02259300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02388250",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield, NJ

Sources for this page

Verify at the official NPI Registry.